FAMILY GUIDANCE CENTERS INC. NPI 1124102611

NPI Information

NPI: 1124102611
Provider Name: FAMILY GUIDANCE CENTERS, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 14D1064004

Address:
310 W CHICAGO AVE
CHICAGO, IL
ZIP 60654
Phone: (312) 943-6545
Get Directions

FAMILY GUIDANCE CENTERS, INC. 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. FAMILY GUIDANCE CENTERS, INC. NPI is 1124102611. The provider is registered as an organization entity type.

The provider's business location address is:

310 W CHICAGO AVE
CHICAGO, IL
ZIP 60654-106
Phone: (312) 943-6545
Fax: (312) 943-6543

The provider's authorized official is Brian Nottage .
The authorized official title is Vice President and has the following contact phone number (312) 943-6545.

The CLIA number assigned to this NPI record is 14D1064004 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/29/2020.

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	A05210002	ILLINOIS	Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A05210002	ILLINOIS	No

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: 11/14/2023

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