Organization
BHC STREAMWOOD HOSPITAL INC
Active
Other names
Rock River Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY COSTELLO (CFO)
(630) 837-9000
Entity
Organization
Contact information
Practice address
3445 ELMWOOD RD, ROCKFORD, IL 61101-9529
(815) 877-3440
(815) 636-5041
Mailing address
1400 E IRVING PARK RD, STREAMWOOD, IL 60107-3201
(630) 837-9000
(630) 540-4285
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
47613710
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4761373
DCFS STATE OF IL CONTRACT NUMBER
IL
Enumeration date
07/20/2009
Last updated
07/20/2009
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