S S Behavioral Health INC
in Lombard, IL. Organization (NPI-2).
NPI number1801313721
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1801313721
- Entity type
- Organization (NPI-2)
- Legal business name
- S S Behavioral Health INC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2017
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | 036-131386 | IL | Yes | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 036-131386 | IL |
Practice location
477 E Butterfield Rd Ste 102Lombard, IL 60148-4880
Phone 630-528-3835 · Fax 630-528-3837
Mailing address
1415 S Ardmore Ave Unit 7020Villa Park, IL 60181-5871
Phone 630-317-4360
Other practice locations
2227 Sisters Ave
Naperville, IL 60564-4397
Naperville, IL 60564-4397
Phone 630-290-2246 · Fax 630-528-3837
Authorized official
Mohammed S Siddiqui
President
6302902246
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