BREAKING FREE NPI 1295872513

NPI Information

NPI: 1295872513
Provider Name: BREAKING FREE
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Address: 120 GALE ST
SUITE 200
AURORA, IL
ZIP 60506
Phone: (630) 897-1003

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NPI Details

BREAKING FREE is a rehabilitation and substance use disorder clinic center in Aurora, IL. BREAKING FREE NPI is 1295872513. The provider is registered as an organization entity type.

The provider's business location address is:

120 GALE ST
SUITE 200
AURORA, IL
ZIP 60506-084
Phone: (630) 897-1003
Fax: (630) 572-0566

The provider's authorized official is Herbert Stricklin .
The authorized official title is Director Of Clinical Operations and has the following contact phone number (630) 897-1003.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/21/2020.

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	251S00000X	Community/Behavioral Health		A-0380-0002-A	ILLINOIS	No
2	251S00000X	Community/Behavioral Health			ILLINOIS	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1839	OTHER	ILLINOIS	BLUE CROSS PROVIDER NUMBE
2	0380	OTHER	ILLINOIS	DASA PROVIDER NUMBER

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: 3/30/2025

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