Organization · Type 2 NPI

Icc Treatment Center

Methadone Clinic · Chicago, IL

NPI number 1164388484 Active

Practice location

1 E 111th Street
Chicago, IL 60628-9998

Call (773) 552-2769 Map

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic Primary 261QM2800XNone listed
Substance Use Disorder Rehabilitation Hospital Unit 276400000XNone listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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About NPI 1164388484

Icc Treatment Center's National Provider Identifier is 1164388484, issued on Dec 30, 2025. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Chicago, IL. The record was last updated on Apr 3, 2026.