Provider Demographics
NPI:1376020479
Name:SILVER OAKS BEHAVIORAL, LLC
Entity Type:Organization
Organization Name:SILVER OAKS BEHAVIORAL, LLC
Other - Org Name:SILVER OAKS BEHAVIORAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KRESCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-243-5565
Mailing Address - Street 1:1004 PAWLAK PARKWAY
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451
Mailing Address - Country:US
Mailing Address - Phone:815-215-3300
Mailing Address - Fax:815-215-3400
Practice Address - Street 1:1004 PAWLAK PKWY
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9401
Practice Address - Country:US
Practice Address - Phone:815-215-3300
Practice Address - Fax:815-215-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital