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CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO NPI 1295854446


NPI Information

NPI: 1295854446
Provider Name: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 14D2125963

Address:
721 N LA SALLE DR
CHICAGO, IL
ZIP 60654
Phone: (773) 349-8052
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CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO is a rehabilitation and substance use disorder clinic center in Chicago, IL. CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO NPI is 1295854446. The provider is registered as an organization entity type.

The provider's business location address is:

721 N LA SALLE DR
CHICAGO, IL
ZIP 60654-751
Phone: (773) 349-8052

The provider's authorized official is Pamela F Davis .
The authorized official title is Department Director and has the following contact phone number (312) 655-7167.

The CLIA number assigned to this NPI record is 14D2125963 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 4/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A-0173-0016-AOTHERILLINOISDASA

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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