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COUNSELING CENTER OF LAKE VIEW - SUBSTANCE ABUSE NPI 1932414000


NPI Information

NPI: 1932414000
Provider Name: COUNSELING CENTER OF LAKE VIEW - SUBSTANCE ABUSE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3225 N SHEFFIELD AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 549-5886
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COUNSELING CENTER OF LAKE VIEW - SUBSTANCE ABUSE is a rehabilitation and substance use disorder clinic center in Chicago, IL. COUNSELING CENTER OF LAKE VIEW - SUBSTANCE ABUSE NPI is 1932414000. The provider is registered as an organization entity type.

The provider's business location address is:

3225 N SHEFFIELD AVE
CHICAGO, IL
ZIP 60657-210
Phone: (773) 549-5886
Fax: (773) 549-3265

The provider's authorized official is George James Curtiss .
The authorized official title is Controller and has the following contact phone number (773) 549-1102.

The enumeration date for this NPI number is 8/13/2010 and was last updated on 8/13/2010.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA0127-0001-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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1362743345001MEDICAIDILLINOIS

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

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