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Organization

BEHAVIORAL SERVICES CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EUGENE ISYANOV (CLINICAL SERVICES DIRECTOR)
(847) 673-8577
Entity
Organization

Contact information

Practice address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2272
(847) 673-8577
(847) 568-0411
Mailing address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2272
(847) 673-8577
(847) 568-0411

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
05/04/2015
Last updated
09/02/2016
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