ELITE TREATMENT CENTER NPI 1912457219

NPI Information

  • NPI: 1912457219
  • Provider Name: ELITE TREATMENT CENTER
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 395 W LINCOLN HWY
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Phone: (708) 755-5117

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NPI Details

ELITE TREATMENT CENTER is a rehabilitation and substance use disorder clinic center in Chicago Heights, IL. ELITE TREATMENT CENTER NPI is 1912457219. The provider is registered as an organization entity type.

The provider's business location address is:

395 W LINCOLN HWY
CHICAGO HEIGHTS, IL
ZIP 60411-442
Phone: (708) 755-5117
Fax: (708) 755-5404

The provider's authorized official is Albert Ellis .
The authorized official title is Founder/ceo and has the following contact phone number (708) 755-5117.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 10/11/2016 and was last updated on 4/26/2022.

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
1261QM2800XClinic/CenterMethadoneA78460001AILLINOISNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1800087456001MEDICAIDILLINOIS

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: 11/21/2025

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