MCDERMOTT CENTER NPI 1902283641

NPI Information

  • NPI: 1902283641
  • Provider Name: MCDERMOTT CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: HAYMARKET CENTER
  • Address: 108 N SANGAMON ST FL 6
    CHICAGO, IL
    ZIP 60607
  • Phone: (312) 226-7984

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NPI Details

MCDERMOTT CENTER is a substance abuse rehabilitation facility in Chicago, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MCDERMOTT CENTER NPI is 1902283641. The provider is registered as an organization entity type.
The provider Is Doing Business As Haymarket Center.

The provider's business location address is:

108 N SANGAMON ST FL 6
CHICAGO, IL
ZIP 60607-202
Phone: (312) 226-7984
Fax: (312) 226-8048

The provider's authorized official is Dan Lustig .
The authorized official title is President & Ceo and has the following contact phone number (312) 226-7984.

The enumeration date for this NPI number is 5/1/2015 and was last updated on 4/9/2022.

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
1324500000XSubstance Abuse Rehabilitation FacilityA-0349-0038-AILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10349-0060MEDICAIDILLINOIS

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: 3/30/2025

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