Provider Demographics
NPI:1285420471
Name:AFFIRM BEHAVIORAL HEALTH, PLLC
Entity type:Organization
Organization Name:AFFIRM BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:STRYJEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MSW, LCSW, CADC
Authorized Official - Phone:708-990-1174
Mailing Address - Street 1:10340 S KEATING AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4766
Mailing Address - Country:US
Mailing Address - Phone:708-990-1174
Mailing Address - Fax:
Practice Address - Street 1:5120 MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4656
Practice Address - Country:US
Practice Address - Phone:708-990-1174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health