THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (NPI# 1710049820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710049820 |
| Entity Type | Organization |
| Organization Name | THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE |
| Practice Address |
1909 174th St Hazel Crest IL 60429 |
| Practice Telephone | 7086473333 |
| Mailing Telephone | 7086473333 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | MR. KYLE JONES (V.P. AND CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7086473350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | A-0621-0004A | IL | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | A-0621-0002-A | IL | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | A-0621-0001-A | IL | Residential Treatment Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0621-0003-A | IL | Ambulatory Health Care Facilities |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
A-0621-0003-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234874 | The South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2018-11-16 |
| 1821571274 | The South Suburban Council On Alcoholism and Substance Abuse | Clinic/Center | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2018-09-12 |
| 1568837078 | The South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2015-12-09 |
| Street Address |
1909 174TH ST |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184955809 | Grand Prairie Services | Clinic/Center | 1909 174th St, Hazel Crest, IL 60429-1442 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| 1447438635 | Empathy Rehab LLC | Clinic/Center | 2353 Hassell Rd, Hoffman Estates, IL 60169-2170 | 2008-02-10 |
| 1669695227 | Center for Rehabilitation Technology Inc | Clinic/Center | 64 S Prairie St, 218 Weinberg Arcade, Galesburg, IL 61401-4642 | 2007-04-11 |
| 1891812327 | Comgraph Inc. | Clinic/Center | 252 Main Street, Park Forest, IL 60466 | 2007-03-22 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1265521959 | Milestone Rehabilitation | Clinic/Center | 474 Parkwood Circle, South Elgin, IL 60177 | 2006-10-12 |
| 1487747556 | Innovative Outpatient Medical Systems | Clinic/Center | 18425 West Creek Drive, Suite G, Tinley Park, IL 60477-6767 | 2006-10-02 |
| 1104477736 | Alden of Waterford, L.L.C. | Clinic/Center | 2021 Randi Dr, Aurora, IL 60504-4758 | 2019-09-25 |
| 1053824896 | Safer Foundation | Clinic/Center | 2839 W Fillmore St, Chicago, IL 60612-4051 | 2017-11-15 |
| 1942750930 | Joyner Therapy Services | Clinic/Center | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
Please comment or provide details below to improve the information on THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE.
| 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.