NPIMap

Organization Active NPI

BHC Streamwood Hospital Inc

Doing business as John Costigan Residential

  • Psychiatric Residential Treatment Facility
  • Streamwood, IL
National Provider Identifier
1639466915
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
346984 Issued in IL
Legal business name
BHC STREAMWOOD HOSPITAL INC
Doing business as
John Costigan Residential
Practice address
1360 E Irving Park Rd
Streamwood, IL 60107-3202
Phone
(630) 736-2740
Fax
(630) 736-2763
NPI assigned
Jul 7, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxane Harcourt
Title
Chief Executive Officer
Phone
(630) 483-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 346984 IL Primary

Addresses

Primary practice location

1360 E Irving Park Rd
Streamwood, IL 60107-3202

Mailing address

1360 E Irving Park Rd
Streamwood, IL 60107-3202
Phone (630) 736-2740

Other names 1

  • John Costigan Residential Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BHC Streamwood Hospital Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1360 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 736-2740

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1639466915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073202",
            "telephone_number": "630-736-2740",
            "fax_number": "630-736-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073202",
            "telephone_number": "630-736-2740",
            "fax_number": "630-736-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC STREAMWOOD HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "HARCOURT",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "630-483-5578"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "346984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Costigan Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streamwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.