Organization · Type 2 NPI
Maryville Academy
Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
NPI number
1366957292
Active
Practice location
1510 N Claremont Ave
Chicago, IL 60622-1710
Fax (312) 391-3531
Mailing address
1455 E Golf Rd Ste 210
Des Plaines, IL 60016-1254
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...
Another provider at this address
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About NPI 1366957292
Maryville Academy's National Provider Identifier is 1366957292, issued on Dec 14, 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 Sep 11, 2025.