Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN BROOK
Active OrganizationGLEN BROOK is a Intellectual Disabilities Residential Treatment Facility organization located in VIENNA, Illinois. NPI 1629292081 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · VIENNA, IL
Registration Details
- NPI Number
- 1629292081
- Provider Type
- Organization
- NPI Issued
- Apr 13, 2007 (19.153177959048 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
801 NORTH 1ST STREETVIENNA, IL, 629951544Browse IL providers · Browse ZIP 62995
- Phone
- 6186582005
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.