| NPI | 1629374566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANCIS WALTER Operations Director 630-221-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL A-8645-0001-A) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-8645-0002-A) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2017-10-27 |