Organization
BHC STREAMWOOD HOSPITAL INC
Active
Other names
John Costigan Residential
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE HARCOURT (CHIEF EXECUTIVE OFFICER)
(630) 483-5578
Entity
Organization
Contact information
Practice address
1360 E IRVING PARK RD, STREAMWOOD, IL 60107-3202
(630) 736-2740
(630) 736-2763
Mailing address
1360 E IRVING PARK RD, STREAMWOOD, IL 60107-3202
(630) 736-2740
(630) 736-2763
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
346984
IL
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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