Organization
BEHAVIORAL SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE ISYANOV (CLINICAL SERVICES DIRECTOR)
(847) 673-8577
Entity
Organization
Contact information
Practice address
161 N CLARK ST, CHICAGO, IL 60601-3206
(847) 673-8577
Mailing address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/21/2015
Last updated
09/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us