PATHOS CHICAGO LLC NPI 1447716568

NPI Information

NPI: 1447716568
Provider Name: PATHOS CHICAGO LLC

Doing Business As: PATHOS CHICAGO

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
430 W ERIE ST STE 205
CHICAGO, IL
ZIP 60654
Phone: (312) 792-3610
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PATHOS CHICAGO LLC is a rehabilitation and substance use disorder clinic center in Chicago, IL. PATHOS CHICAGO LLC NPI is 1447716568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pathos Chicago.

The provider's business location address is:

430 W ERIE ST STE 205
CHICAGO, IL
ZIP 60654-692
Phone: (312) 792-3610

The provider's authorized official is Robert Hilliker .
The authorized official title is Founder and has the following contact phone number (713) 470-9878.

The enumeration date for this NPI number is 2/13/2019 and was last updated on 2/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	104100000X	Social Worker		No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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