HAZELDEN CHICAGO NPI 1245397959

NPI Information

NPI: 1245397959
Provider Name: HAZELDEN CHICAGO
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
867 N DEARBORN ST
CHICAGO, IL
ZIP 60610
Phone: (800) 257-7810
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HAZELDEN CHICAGO is a rehabilitation and substance use disorder clinic center in Chicago, IL. HAZELDEN CHICAGO NPI is 1245397959. The provider is registered as an organization entity type.

The provider's business location address is:

867 N DEARBORN ST
CHICAGO, IL
ZIP 60610-310
Phone: (800) 257-7810
Fax: (312) 943-3530

The provider's authorized official is Michael Ranum .
The authorized official title is Cfo and has the following contact phone number (651) 213-7424.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-9403-0001-P	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: 11/14/2023

NPI Synchronization or Removal

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