HENDRICKSON HOUSE OF SOBRIETY LLC NPI 1124988480

NPI Information

  • NPI: 1124988480
  • Provider Name: HENDRICKSON HOUSE OF SOBRIETY LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 2901 S 49TH AVE
    CICERO, IL
    ZIP 60804
  • Phone: (464) 927-9879

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NPI Details

HENDRICKSON HOUSE OF SOBRIETY LLC is an addiction (substance use disorder) counselor in Cicero, IL. HENDRICKSON HOUSE OF SOBRIETY LLC NPI is 1124988480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 S 49TH AVE
CICERO, IL
ZIP 60804-634
Phone: (464) 927-9879

The provider's authorized official is Steve Hendrickson .
The authorized official title is Owner and has the following contact phone number (612) 685-4958.

The enumeration date for this NPI number is 11/17/2025 and was last updated on 11/17/2025.

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
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: 11/21/2025

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