Superior Interventions,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A-7154-0001-A Issued in IL

Legal business name

SUPERIOR INTERVENTIONS,LLC

Practice address

1 S 132 Summit Avenue
Suite 108
Oakbrook Terrace, IL 60181-1548

Phone

(630) 932-8809

Fax

(630) 563-9197

NPI assigned

Jun 10, 2016

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Edith C. Ozark, MSW

Title

Executive Director

Phone

(630) 932-8809

Specialties & licenses 1

Addresses

Other names 1

• ELMHURST INTERVENTIONS,LLC Former legal business name

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1821447798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 ROSE CT",
            "address_2": "NONE",
            "city": "BERKELEY",
            "state": "IL",
            "postal_code": "601631548",
            "telephone_number": "708-805-7235",
            "fax_number": "630-563-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S 132 SUMMIT AVENUE",
            "address_2": "SUITE 108",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601811548",
            "telephone_number": "630-932-8809",
            "fax_number": "630-563-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INTERVENTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "OZARK",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-932-8809",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-7154-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMHURST INTERVENTIONS,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.