Shore Light Behavioral Health of Illinois LLC
NPI #1881486637 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1881486637
- Entity Type
- Organization
- Organization Name
- Shore Light Behavioral Health of Illinois LLC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- May 19, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 6775 PROSPERI DR
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-4789
- Phone
- (888) 486-6717
Authorized Official
- Name
- STEPHEN H VANHOOSER
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (949) 750-2014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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