Organization · Type 2 NPI
Chicago Treatment & Counseling Center #4
Substance Use Disorder Rehabilitation Clinic/Center · Cicero, IL
NPI number
1679009880
Active
Practice location
5635 W Roosevelt Rd
Cicero, IL 60804-1230
Fax (708) 652-6475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 036069638 (IL) |
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
6 other providers at this address
- Deborah Cathey, LPNLicensed Practical Nurse Cicero, IL NPI 1164883195
- Diamond HinesLicensed Practical Nurse Cicero, IL NPI 1598417651
- Jennifer HintonStudent in an Organized Health Care Education/Training Program Cicero, IL NPI 1437801578
- Jennifer Marie Fontana, CADC, LMSWAddiction (Substance Use Disorder) Counselor Cicero, IL NPI 1013378041
- Maryann Bzdon, CADCAddiction (Substance Use Disorder) Counselor Cicero, IL NPI 1710348743
- Yvatni BennettLicensed Practical Nurse Cicero, IL NPI 1174275226
Other substance use disorder rehabilitation clinic/center providers in Cicero
About NPI 1679009880
Chicago Treatment & Counseling Center #4's National Provider Identifier is 1679009880, issued on May 8, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Cicero, IL. The record was last updated on Feb 25, 2022.