Organization · Type 2 NPI

Sundance Methadone Treatment Center,llc

Methadone Clinic · Chicago, IL

NPI number 1316296007 Active

Practice location

4545 N Broadway St, 3rd Floor
Chicago, IL 60640-5975

Call (773) 784-1111 Map

Fax (773) 784-4910

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic Primary 261QM2800XNone listed
Rehabilitation Clinic/Center 261QR0400XA31350001 (IL)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XA31350001 (IL)
Substance Use Disorder Rehabilitation Hospital Unit 276400000XA31350001 (IL)
Substance Abuse Rehabilitation Facility 324500000XA31350001 (IL)

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 1316296007

Sundance Methadone Treatment Center,llc's National Provider Identifier is 1316296007, issued on Sep 10, 2012. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Chicago, IL. The record was last updated on Nov 16, 2021.