FOUNDATIONS CHICAGO LLC NPI 1386197481

NPI Information

NPI: 1386197481
Provider Name: FOUNDATIONS CHICAGO, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 14D2115898

Address:
225 W WASHINGTON ST
SECOND FLOOR
CHICAGO, IL
ZIP 60606
Phone: (855) 317-8259
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FOUNDATIONS CHICAGO, LLC is a rehabilitation and substance use disorder clinic center in Chicago, IL. FOUNDATIONS CHICAGO, LLC NPI is 1386197481. The provider is registered as an organization entity type.

The provider's business location address is:

225 W WASHINGTON ST
SECOND FLOOR
CHICAGO, IL
ZIP 60606-418
Phone: (855) 317-8259

The provider's authorized official is Steve Filton .
The authorized official title is Evp-chief Financial Officer and has the following contact phone number (610) 382-3319.

The CLIA number assigned to this NPI record is 14D2115898 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2016 and was last updated on 5/20/2019.

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	A89410001A	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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