CORNELL INTERVENTIONS LLC NPI 1598810764

NPI Information

  • NPI: 1598810764
  • Provider Name: CORNELL INTERVENTIONS, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 14D0987994
  • Address: 5701 S WOOD ST
    CHICAGO, IL
    ZIP 60636
  • Phone: (773) 737-4600

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NPI Details

CORNELL INTERVENTIONS, LLC is a rehabilitation and substance use disorder clinic center in Chicago, IL. CORNELL INTERVENTIONS, LLC NPI is 1598810764. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5701 S WOOD ST
CHICAGO, IL
ZIP 60636-646
Phone: (773) 737-4600

The provider's authorized official is Shayna A Raver .
The authorized official title is Contracts Director and has the following contact phone number (724) 622-4502.

The CLIA number assigned to this NPI record is 14D0987994 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 9/9/2025.

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
1291U00000XClinical Medical LaboratoryNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-8981-0019-AILLINOISYes

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: 11/21/2025

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