Provider Demographics
NPI:1316249576
Name:CORE BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:CORE BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAJA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:800-994-6602
Mailing Address - Street 1:9217 MONTGOMERY DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-6506
Mailing Address - Country:US
Mailing Address - Phone:800-994-6602
Mailing Address - Fax:800-994-6602
Practice Address - Street 1:1300 W BELMONT AVE
Practice Address - Street 2:SUITE # 504
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3200
Practice Address - Country:US
Practice Address - Phone:800-994-6602
Practice Address - Fax:800-994-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-21
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007541103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty