DEKALB BEHAVIORAL HEALTH FOUNDATION INC. NPI 1437519345

NPI Information

  • NPI: 1437519345
  • Provider Name: DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: NORTHWESTERN MEDICINE BEN GORDON CENTER
  • Address: 12 HEALTH SERVICES DR
    DASA
    DEKALB, IL
    ZIP 60115
  • Phone: (815) 756-4875

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NPI Details

DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. is a rehabilitation and substance use disorder clinic center in Dekalb, IL. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. NPI is 1437519345. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwestern Medicine Ben Gordon Center.

The provider's business location address is:

12 HEALTH SERVICES DR
DASA
DEKALB, IL
ZIP 60115
Phone: (815) 756-4875

The provider's authorized official is Christine Zydek .
The authorized official title is Director Of Finance and has the following contact phone number (815) 748-2986.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 7/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

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This page was last updated on: 3/30/2025

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