Skylight Healing Center
Clinic/Center, Adult Mental Health in Evanston, IL. Organization (NPI-2).
NPI number1003595802
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1003595802
- Entity type
- Organization (NPI-2)
- Legal business name
- Skylight Healing Center
- Organization subpart
- No
- Enumeration date
- Jul 18, 2023
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
1033 University Pl Ste 330Evanston, IL 60201-3156
Phone 847-529-8300
Mailing address
1033 University Pl Ste 330Evanston, IL 60201-3156
Phone 847-529-8300
Authorized official
David Klow
Owner
8475298300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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