# PATHWAYS BEHAVIORAL HEALTH NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891386116
- **Authorized official:** MRS. MARY JOAN MACKNISKAS (SR DIRECTOR OF NET REVENUE)
- **Authorized official phone:** (773) 213-0776

## Contact information

- **Practice address:** 2601 NAVISTAR DR, LISLE, IL 60532-3679
- **Practice address phone:** (855) 910-0157
- **Mailing address:** 2601 NAVISTAR DR, LISLE, IL 60532-3679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 01/29/2021