KENNETH YOUNG CENTER NPI 1629083241

NPI Information

NPI: 1629083241
Provider Name: KENNETH YOUNG CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1001 ROHLWING RD
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 524-8800
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KENNETH YOUNG CENTER is a mental health (including community mental health center) clinic center in Elk Grove Village, IL. KENNETH YOUNG CENTER NPI is 1629083241. The provider is registered as an organization entity type.

The provider's business location address is:

1001 ROHLWING RD
ELK GROVE VILLAGE, IL
ZIP 60007-217
Phone: (847) 524-8800
Fax: (847) 524-8824

The provider's authorized official is James Bruski .
The authorized official title is Human Resources Manager and has the following contact phone number (847) 524-8800.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/10/2017.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	583690	MEDICARE PIN	ILLINOIS
2	1-=========001	MEDICAID	ILLINOIS
3	201209	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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