Organization
BEHAVIORAL HEALTH CARE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAISE JOSEPH WOLFRUM M.D. (MEDICAL DIRECTOR)
(847) 895-4540
Entity
Organization
Contact information
Practice address
1375 E SCHAUMBURG RD, SUITE 260, SCHAUMBURG, IL 60194-3658
(847) 895-4540
(847) 895-4544
Mailing address
1375 E SCHAUMBURG RD, SUITE 260, SCHAUMBURG, IL 60194-3658
(847) 895-4540
(847) 895-4544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
036079918
IL
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619289
BC BS OF ILLINOIS
IL
05
—
036079918
—
IL
Enumeration date
01/29/2007
Last updated
07/21/2022
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