OMNI YOUTH SERVICES, INC. – NPI #1124401179
Clinic/Center

OMNI YOUTH SERVICES, INC. is an AHC clinic located in BUFFALO GROVE, IL. NPPES has assigned the NPI number 1124401179 to OMNI YOUTH SERVICES, INC. on July 08, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Jan 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OMNI YOUTH SERVICES, INC. below.

NPI Profile for
OMNI YOUTH SERVICES, INC.

NPI Number
1124401179
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OMNI YOUTH SERVICES, INC.
Primary location
1111 W LAKE COOK RD
BUFFALO GROVE, IL 60689
Phone: (847) 353-1500 Fax: (847) 465-1964
1 Other location(s):
1880 W Winchester Rd Ste 108
Libertyville, IL 60048-5321
Phone: (224) 676-2317
Mailing address
Same as primary location
Organization Subpart
Yes - OMNI YOUTH SERVICES, INC. is subpart of another organization.
Authorized Official
SHANAN EGGER
CFO
Phone: (847) 353-1762
Updated
Certification Date
Jan 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.