WAY BACK INN NPI 1093060741

NPI Information

NPI: 1093060741
Provider Name: WAY BACK INN
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
104 OAK ST.
MAYWOOD, IL
ZIP 60153
Phone: (708) 344-3301
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WAY BACK INN is an addiction (substance use disorder) counselor in Maywood, IL. WAY BACK INN NPI is 1093060741. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

104 OAK ST.
MAYWOOD, IL
ZIP 60153
Phone: (708) 344-3301
Fax: (708) 344-2944

The provider's authorized official is Anita Maria Pindiur .
The authorized official title is Interim Executive Director and has the following contact phone number (708) 344-3301.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 8/23/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	180.007316	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180.007242	ILLINOIS	No
3	101YP2500X	Counselor	Professional	180.007316	ILLINOIS	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	180.007242	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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