LOREN 'HALF' ROBINSON FOUNDATION NPI 1699296129

NPI Information

NPI: 1699296129
Provider Name: LOREN 'HALF' ROBINSON FOUNDATION

Other Name: LOREN 'HALF' ROBINSON FOUNDATION

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
4100 W OGDEN AVE
CHICAGO, IL
ZIP 60623
Phone: (773) 521-1601
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LOREN 'HALF' ROBINSON FOUNDATION is a methadone clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. LOREN 'HALF' ROBINSON FOUNDATION NPI is 1699296129. The provider is registered as an organization entity type.
The provider Other Name Is Loren 'half' Robinson Foundation.

The provider's business location address is:

4100 W OGDEN AVE
CHICAGO, IL
ZIP 60623-821
Phone: (773) 521-1601

The provider's authorized official is Patricia J Searcy .
The authorized official title is Ceo/director Of Board Of Directors and has the following contact phone number (773) 521-1601.

The enumeration date for this NPI number is 7/6/2017 and was last updated on 7/21/2022.

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	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	A85450001A	ILLINOIS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A85450001A	ILLINOIS	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
4	261QM2800X	Clinic/Center	Methadone			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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