Organization · Type 2 NPI

Maryville Academy

Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL

NPI number 1003341058 Active

Practice location

1658 W Grand Ave
Chicago, IL 60622-6309

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

2 other providers at this address

Maryville AcademyMental Illness Community Based Residential Treatment Facility Chicago, IL NPI 1508174749
Maryville AcademyMental Health Clinic/Center (Including Community Mental Health Center) Chicago, IL NPI 1902353782

Other substance use disorder rehabilitation clinic/center providers in Chicago

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NPI record

NPI: 1003341058
Entity type: Organization (Type 2)
Issued: Apr 27, 2017
Last updated: Jun 11, 2025
Status: Active

Other names

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Family Behavioral Health Clinic · doing business as
Family Behavioral Health Clinic · doing business as

Authorized official

Frederick Smith
Administrator of Community Services
(847) 390-3004

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003341058

Maryville Academy's National Provider Identifier is 1003341058, issued on Apr 27, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Chicago, IL. The record was last updated on Jun 11, 2025.