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ELEVATED GROUPS COUNSELING LLC NPI 1528539095


NPI Information

NPI: 1528539095
Provider Name: ELEVATED GROUPS COUNSELING LLC

Doing Business As: ELEVATED GROUPS COUNSELING

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
10436 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 444-0304
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ELEVATED GROUPS COUNSELING LLC is a rehabilitation and substance use disorder clinic center in Chicago Ridge, IL. ELEVATED GROUPS COUNSELING LLC NPI is 1528539095. The provider is registered as an organization entity type.
The provider Is Doing Business As Elevated Groups Counseling.

The provider's business location address is:

10436 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415-282
Phone: (708) 444-0304
Fax: (708) 377-3960

The provider's authorized official is Mohammed Tarawneh .
The authorized official title is Ceo And Director and has the following contact phone number (708) 444-0304.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 12/13/2019.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 5/5/2024

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