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BUENA VISTA GROUP LLC NPI 1750883286


NPI Information

NPI: 1750883286
Provider Name: BUENA VISTA GROUP, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
418 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 481-4200
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BUENA VISTA GROUP, LLC is a methadone clinic center in Chicago Heights, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. BUENA VISTA GROUP, LLC NPI is 1750883286. The provider is registered as an organization entity type.

The provider's business location address is:

418 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411-739
Phone: (708) 481-4200
Fax: (708) 481-3302

The provider's authorized official is William Evans .
The authorized official title is Md/owner and has the following contact phone number (708) 481-4200.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.


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
1261QM2800XClinic/CenterMethadoneILLINOISYes

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: 4/28/2024

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