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Organization

DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.

Active
Parent organization
DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
Other names
Northwestern Medicine Ben Gordon Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
Authorized official
CHRISTINE ZYDEK (DIRECTOR OF FINANCE)
(815) 748-2986
Entity
Organization

Contact information

Practice address
631 S 1ST ST, DEKALB, IL 60115
(815) 756-8501
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(815) 756-8501

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
A-5202-0001-A
IL

Other

Enumeration date
01/27/2016
Last updated
07/23/2018
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