Provider Demographics
NPI:1760461578
Name:NAPER CLINICAL BEHAVIORAL SERVICES INC
Entity Type:Organization
Organization Name:NAPER CLINICAL BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:DISCIPIO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-527-5484
Mailing Address - Street 1:800 EAST DIEHL ROAD, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563
Mailing Address - Country:US
Mailing Address - Phone:630-577-1577
Mailing Address - Fax:630-577-1555
Practice Address - Street 1:800 EAST DIEHL ROAD, SUITE 100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:630-577-1577
Practice Address - Fax:630-577-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2232829OtherBLUE CROSS BLUE SHEILD
IL213383Medicare PIN