| NPI | 1902228406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMLATA P VAIDYA Medical Director 773-523-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL 036069638) |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2021-09-01 |