Active NPI
Duane Dean Behavioral Health Center
- Methadone Clinic
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- DUANE DEAN BEHAVIORAL HEALTH CENTER
- Practice address
- 700 E Court St
Kankakee, IL 60901-4131 - Phone
- (815) 939-0125
- Fax
- (815) 939-1249
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eddy Borrayo
- Title
- President/Ceo
- Phone
- (773) 564-9070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | IL |
Addresses
Primary practice location
700 E Court St
Kankakee, IL 60901-4131
Mailing address
700 E Court St
Kankakee, IL 60901-4131
Phone (815) 939-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Opioid treatment program
- Medicare-enrolled since Sep 25, 2025
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200414000879 | IL | Part B Supplier - Opioid Treatment Program (Otp) | 7315377454 | Practice locations: Kankakee, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Clinical Medical Laboratory
- Kankakee, IL
- NPI 1982366027
7315377454
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2327863 | Duane Dean Behavioral Health | Certificate of waiver | Jul 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Duane Dean Behavioral Health Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kankakee, IL
- NPI 1942688973
-
- Clinical Medical Laboratory
- Kankakee, IL
- NPI 1982366027
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kankakee, IL
- NPI 1750344214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1043345119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E COURT ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609014131",
"telephone_number": "815-939-0125",
"fax_number": "815-939-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E COURT ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609014131",
"telephone_number": "815-939-0125",
"fax_number": "815-939-1249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUANE DEAN BEHAVIORAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "BORRAYO",
"authorized_official_first_name": "EDDY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "773-564-9070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.