Bayview Wellness Clinic

Organization Active NPI Addiction (Substance Use Disorder) Counselor · Savoy, IL

NPI 1346789294 · NPPES record last updated Feb 13, 2017

Key facts

NPI
1346789294
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
31023 (IL)
Legal business name
BAYVIEW WELLNESS CLINIC
Practice address
206 Burwash Ave
Savoy, IL 61874-9510
Phone
(217) 356-3400
Fax
(217) 866-0122
NPI assigned
Feb 13, 2017
Organization subpart
Yes
Parent organization (as reported)
BAYVIEW FAMILY CLINIC

Authorized official

Name
Mr. Linus Anukwu NPI 1144242090
Title
Owner
Phone
(217) 356-3400

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Bayview Wellness Clinic (5 organizations share this tax ID)
Part of
Bayview Wellness Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 31023 IL Yes

Addresses

Primary practice location

206 Burwash Ave
Savoy, IL 61874-9510

Mailing address

206 Burwash Ave
Savoy, IL 61874-9510
Phone (217) 356-3400

Other providers in Savoy, IL

All providers in Savoy, IL · Addiction (Substance Use Disorder) Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.