NPI 1477618668 · live from the CMS NPI Registry
Advanced Behavioral Centers Of Dupage, LLC
Marriage & Family Therapist in Hinsdale, IL. National Provider Identifier 1477618668, active.
NPI record
| NPI | 1477618668 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 501 W. Ogden Avenue, Suite 1, Hinsdale, IL 60521 |
| Practice phone | 773-906-4546 |
| Mailing address | 501 W. Ogden Ave, Suite 1, Hinsdale, IL 60521 |
| Enumerated | December 27, 2006 |
| Last updated | June 22, 2018 |
| Authorized official | Stephen Baynes, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Psychologist | 103T00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.