Ben Gordon Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Dekalb, IL. Organization (NPI-2).
Details
- NPI
- 1700037512
- Entity type
- Organization (NPI-2)
- Legal business name
- Ben Gordon Center
- Organization subpart
- Yes
- Enumeration date
- Oct 10, 2008
- Last updated
- Oct 10, 2008
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 |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | A0254001A | IL | Yes |
Other names
- Kid Care Services (Other Name)
Practice location
12 Health Services DrDekalb, IL 60115-9637
Phone 815-756-4875 · Fax 815-756-2944
Mailing address
12 Health Services DrDekalb, IL 60115-9637
Phone 815-756-4875 · Fax 815-756-2944
Authorized official
Kimberly Kruppenbacher
Credentialing Coordinator
8157564875
Is something wrong?
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.
Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Dekalb, IL
- Associaiton For Individual DevelopmentNPI 1528556669
- Association For Individual DevelopmentNPI 1124488945
- Ben Gordon CenterNPI 1750327003
- Community Support Program/Reality HouseNPI 1972788925
- Dekalb Behavioral Health Foundation, INC.NPI 1255703450
- Dekalb Behavioral Health Foundation, INC.NPI 1306203856
- Dr Moana, LLCNPI 1003523366
- Family Service Agency Of Dekalb County, INC.NPI 1184154007
- Northwestern MedicineNPI 1306417076
- Isabel Marie OdomNPI 1740019801
All 12 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Dekalb · All 1,126 providers in Dekalb
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