BEN GORDON CENTER NPI 1750327003

NPI Information

NPI: 1750327003
Provider Name: BEN GORDON CENTER
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 12 HEALTH SERVICES DRIVE
DEKALB, IL
ZIP 60115
Phone: (815) 756-4875

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NPI Details

BEN GORDON CENTER is a mental health (including community mental health center) clinic center in Dekalb, IL. BEN GORDON CENTER NPI is 1750327003. The provider is registered as an organization entity type.

The provider's business location address is:

12 HEALTH SERVICES DRIVE
DEKALB, IL
ZIP 60115
Phone: (815) 756-4875
Fax: (815) 756-2944

The provider's authorized official is Michael D Flora .
The authorized official title is President Ceo and has the following contact phone number (815) 756-4875.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 4/20/2008.

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)	A0254001A	ILLINOIS	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	Other Provider Identifier Issuer
1	207498	MEDICARE ID-TYPE UNSPECIFIED
2	=========001	MEDICAID	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: 11/21/2025

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