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SOLLEYS HOUSE NPI 1487238390


NPI Information

NPI: 1487238390
Provider Name: SOLLEYS HOUSE
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 14D2267461

Address:
4163 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 823-1759
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SOLLEYS HOUSE is an addiction (substance use disorder) counselor in Chicago, IL. SOLLEYS HOUSE NPI is 1487238390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4163 S ARCHER AVE
CHICAGO, IL
ZIP 60632-870
Phone: (773) 823-1759
Fax: (773) 823-1845

The provider's authorized official is Patrick Lawrence Brett .
The authorized official title is Director and has the following contact phone number (708) 529-0188.

The CLIA number assigned to this NPI record is 14D2267461 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2021 and was last updated on 5/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (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

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