ACCESS BEHAVIORAL SERVICES (NPI# 1023434917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023434917 |
| Entity Type | Organization |
| Organization Name | ACCESS BEHAVIORAL SERVICES |
| Practice Address |
3948 W 26th St Suite 114 Chicago IL 60623-3738 |
| Practice Telephone | 7735225460 |
| Practice Fax Number | 7735225465 |
| Mailing Telephone | 7735225460 |
| Mailing Fax Number | 7735225465 |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2014-03-15 |
| Authorized Official Name | ERNESTINA ONTIVEROS (PRESIDENT/CEO) |
| Authorized Official Telephone | 7735225460 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | A-8712-0001-A | IL | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-8712-0001-A | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | A-8712-0001-A | 01 |
| Street Address |
3948 W 26TH ST SUITE 114 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013966266 | Vicken Ichkhan | Dentist | 3948 W 26th St, Suite 101, Chicago, IL 60623-3738 | 2006-05-08 |
| 1306476346 | Erikson Institute | Clinic/Center | 3948 W 26th St, Chicago, IL 60623 | 2020-01-17 |
| 1801319538 | Paul Barreda | Technician/Technologist | 3948 W 26th St, Suite 102, Chicago, IL 60623-3740 | 2017-07-25 |
| 1962704841 | Vista Eye Center | Optometrist | 3948 W 26th St, Chicago, IL 60623-3738 | 2010-11-26 |
| 1518155241 | Bradford Newton | Optometrist | 3948 W 26th St, Ste 102, Chicago, IL 60623-3740 | 2007-10-09 |
| 1861698557 | Jennifer Stephanie Lee | Dentist | 3948 W 26th St, Suite 101, Chicago, IL 60623-3738 | 2007-06-21 |
| 1639239478 | Perla Dental 26th Street LLC | Dentist | 3948 W 26th St, Ste 101, Chicago, IL 60623-3738 | 2006-12-11 |
| 1881618445 | Christopher Dale Martin II | Optometrist | 3948 W 26th St, Chicago, IL 60623-3738 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.