Provider Demographics
NPI:1962290122
Name:ILLINOIS BEHAVIORAL INTERVENTIONS, LLC
Entity type:Organization
Organization Name:ILLINOIS BEHAVIORAL INTERVENTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA JESSELE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-802-8686
Mailing Address - Street 1:33 W HIGGINS RD STE 900
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9135
Mailing Address - Country:US
Mailing Address - Phone:224-802-8686
Mailing Address - Fax:
Practice Address - Street 1:33 W HIGGINS RD STE 900
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9135
Practice Address - Country:US
Practice Address - Phone:224-802-8686
Practice Address - Fax:224-802-8924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty