Provider Demographics
NPI:1972312072
Name:ALLIGN BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ALLIGN BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADINDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-262-6926
Mailing Address - Street 1:3432 W DIVERSEY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1221
Mailing Address - Country:US
Mailing Address - Phone:312-262-6926
Mailing Address - Fax:
Practice Address - Street 1:3432 W DIVERSEY AVE FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1221
Practice Address - Country:US
Practice Address - Phone:312-262-6926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)