Provider Demographics
NPI:1821801853
Name:WILLOWBROOK BEHAVIOR HEALTH LLC
Entity type:Organization
Organization Name:WILLOWBROOK BEHAVIOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEILANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-209-8551
Mailing Address - Street 1:9284 CASCADE CIR
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0711
Mailing Address - Country:US
Mailing Address - Phone:630-209-8551
Mailing Address - Fax:
Practice Address - Street 1:10S710 KINGERY HWY
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-0733
Practice Address - Country:US
Practice Address - Phone:630-209-8551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty