IJEGBA COMMUNITY INC NPI 1790030344

NPI Information

NPI: 1790030344
Provider Name: IJEGBA COMMUNITY INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1950 E 75TH ST
CHICAGO, IL
ZIP 60649
Phone: (773) 684-8422
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IJEGBA COMMUNITY INC is a rehabilitation and substance use disorder clinic center in Chicago, IL. IJEGBA COMMUNITY INC NPI is 1790030344. The provider is registered as an organization entity type.

The provider's business location address is:

1950 E 75TH ST
CHICAGO, IL
ZIP 60649-633
Phone: (773) 684-8422

The provider's authorized official is Olufunmilayo Kale .
The authorized official title is PROGRAM DIRECTORDirector and has the following contact phone number (773) 684-8422.

The enumeration date for this NPI number is 7/19/2012 and was last updated on 10/26/2016.

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	261QM2800X	Clinic/Center	Methadone			No
2	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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