ANDRE D NEWSOME MS MS MHS CADC NPI 1568982809

NPI Information

NPI: 1568982809
Provider Name: ANDRE D NEWSOME, MS, MS, MHS, CADC
Classification: Clinic/Center - 261QR0405X
Entity Type: Individual

Specialization: Rehabilitation, Substance Use Disorder

Address:
1100 W CERMAK RD
CHICAGO, IL
ZIP 60608
Phone: (312) 568-7051
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Andre D Newsome, MS, MS, MHS, CADC is a rehabilitation and substance use disorder clinic center in Chicago, IL. Andre D Newsome, MS, MS, MHS, CADC NPI is 1568982809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 W CERMAK RD
CHICAGO, IL
ZIP 60608-500
Phone: (312) 568-7051

The enumeration date for this NPI number is 6/27/2017 and was last updated on 6/27/2017.

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		ILLINOIS	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	273984627001	MEDICAID	ILLINOIS

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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