NPI 1720730351 · live from the CMS NPI Registry
Advanced Behavioral Centers Corporation
Nurse Practitioner, Psych/Mental Health in Hinsdale, IL. National Provider Identifier 1720730351, active.
NPI record
| NPI | 1720730351 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 501 W Ogden Ave Ste 1, Hinsdale, IL 60521 |
| Practice phone | 630-986-0599 |
| Enumerated | January 25, 2022 |
| Last updated | January 25, 2022 |
| Authorized official | Stephen Baynes, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.