CHICAGO TREATMENT & COUNSELING CENTER #2 NPI 1689100356

NPI Information

NPI: 1689100356
Provider Name: CHICAGO TREATMENT & COUNSELING CENTER #2
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4453 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (773) 506-2900
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CHICAGO TREATMENT & COUNSELING CENTER #2 is a rehabilitation and substance use disorder clinic center in Chicago, IL. CHICAGO TREATMENT & COUNSELING CENTER #2 NPI is 1689100356. The provider is registered as an organization entity type.

The provider's business location address is:

4453 N BROADWAY ST
CHICAGO, IL
ZIP 60640-659
Phone: (773) 506-2900
Fax: (773) 506-8987

The provider's authorized official is Hemlata Vaidya .
The authorized official title is Medical Director and has the following contact phone number (708) 656-9500.

The enumeration date for this NPI number is 5/2/2017 and was last updated on 2/25/2022.

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	251S00000X	Community/Behavioral Health		0360699638	ILLINOIS	No
2	261QM2800X	Clinic/Center	Methadone			No
3	276400000X	Rehabilitation, Substance Use Disorder Unit				No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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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