Organization
OMNI YOUTH SERVICES
Active
Parent organization
OMNI YOUTH SERVICES
Other names
OMNI Youth Services-BG DASA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI YOUTH SERVICES
Authorized official
DORYCE MCCARTHY (COO)
(847) 353-1500
Entity
Organization
Contact information
Practice address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(847) 353-1500
(847) 465-1964
Mailing address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(847) 353-1500
(847) 465-1964
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08005
DASA
IL
Enumeration date
04/29/2016
Last updated
01/08/2026
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