STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION
NPI 1154868206
Clinic/Center - Mental Health (Including Community Mental Health Center) in Burbank, IL

Q: What is Stickney Public Health District, Behavioral Health Division's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 27, 2017CLIA 14D0666121 · Waiver

5635 STATE RD, BURBANK, IL 60459(708) 424-9200(708) 424-9267 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stickney Public Health District, Behavioral Health Division NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION (NPI 1154868206) is a healthcare organization registered as a mental health (including community mental health center) in Burbank, Illinois and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Christopher Leon Grunow, Health Director, as its authorized official.

NPPES Registry Identity

NPI1154868206

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSTICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION

Location Address5635 STATE RDBurbank, IL 60459-2051

Mailing Address5635 State RdBurbank, IL 60459-2051 · (708) 424-9200 · Fax (708) 424-9267

Phone(708) 424-9200

Fax(708) 424-9267

Organization SubpartNo

Authorized OfficialChristopher Leon GrunowHealth Director · (708) 424-9200

Enumeration DateJanuary 27, 2017

✔ NPI 1154868206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in IL · 04131

5635 STATE RD, Burbank, IL 60459

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Other Identifiers 1

Medicare UPIN624250IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0666121

Stickney Public Health District · Burbank, IL

Active · expires Dec 22, 2026

CLIA Number14D0666121

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 23, 2024

Certificate Expiration DateDecember 22, 2026

Laboratory DirectorNenita R. Irabagon

Laboratory Phone(708) 424-9200

Laboratory LocationStickney Public Health District5635 State Road, Burbank, IL 60459

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEANA M COAKLEY R.N.

Registered Nurse