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WILLOWGLEN ACADEMY IL
NPI 1184393399
Community Based Residential Treatment Facility, Mental Illness in Chatham, IL

Active since September 10, 2021
1606 MAGNOLIA DR # 8, CHATHAM, IL 62629(217) 697-8463 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowglen Academy Il NPPES

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

WILLOWGLEN ACADEMY IL (NPI 1184393399), doing business as Broadstep Academy-illinois Inc, is a healthcare organization registered as a community based residential treatment facility, mental illness in Chatham, Illinois and active in the NPI registry since September 2021. The organization lists Kedrian Coleman, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1184393399
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWILLOWGLEN ACADEMY IL
Location Address1606 MAGNOLIA DR # 8Chatham, IL 62629-1596
Mailing Address8521 Six Forks Rd Ste 300Raleigh, NC 27615-5294 · (919) 709-0197
Phone(217) 697-8463
Organization SubpartNo
Authorized OfficialKedrian ColemanDirector Revenue Cycle · (919) 709-0197
Enumeration DateSeptember 10, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1184393399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1606 MAGNOLIA DR # 8, Chatham, IL 62629
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Other Names 1

Doing Business AsBroadstep Academy-illinois Inc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willowglen Academy Il's NPI number?

The NPI number for Willowglen Academy Il is 1184393399. It was assigned to this organization in the NPPES registry on September 10, 2021. The provider is doing business as Broadstep Academy-Illinois Inc.

Where is Willowglen Academy Il located?

Willowglen Academy Il is located at 1606 Magnolia Dr # 8, Chatham, IL 62629. The listed phone number is (217) 697-8463.

What is Willowglen Academy Il's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy Il was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.