Provider Demographics
NPI:1831576172
Name:THE INSTITUTE FOR STRESS CONTROL
Entity type:Organization
Organization Name:THE INSTITUTE FOR STRESS CONTROL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SUZY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-920-0900
Mailing Address - Street 1:501 W OGDEN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3179
Mailing Address - Country:US
Mailing Address - Phone:630-920-0900
Mailing Address - Fax:630-920-0931
Practice Address - Street 1:501 W OGDEN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3179
Practice Address - Country:US
Practice Address - Phone:630-920-0900
Practice Address - Fax:630-920-0931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.017329251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health