Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifehouse Bridge Group, LLC

Organization Community/Behavioral Health Agency · NPI 1760074991

Lifehouse Bridge Group, LLC is a Community/Behavioral Health Agency in Blue Island, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14127 Leavitt Ave
Blue Island, IL 60406-3242
Phone: (847) 839-1525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1760074991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Fuller — Member · (847) 839-1525
Other names Lifehouse Bridge Group, Llc
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021
Mailing address412 Lauder Ln, Inverness, IL 60067-4562

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