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TRANSFORMING EDUCATING & EMPOWERING CHILDREN AND HUMANITY NPI 1689036519


NPI Information

NPI: 1689036519
Provider Name: TRANSFORMING, EDUCATING, & EMPOWERING CHILDREN AND HUMANITY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1750 W 103RD ST
CHICAGO, IL
ZIP 60643
Phone: (224) 406-3798
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TRANSFORMING, EDUCATING, & EMPOWERING CHILDREN AND HUMANITY is a rehabilitation and substance use disorder clinic center in Chicago, IL. TRANSFORMING, EDUCATING, & EMPOWERING CHILDREN AND HUMANITY NPI is 1689036519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1750 W 103RD ST
CHICAGO, IL
ZIP 60643-821
Phone: (224) 406-3798
Fax: (773) 779-0125

The provider's authorized official is Karen Rochelle White .
The authorized official title is Ceo and has the following contact phone number (224) 406-3798.

The enumeration date for this NPI number is 3/21/2016 and was last updated on 9/1/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11689036519MEDICAIDILLINOIS

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

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