EVA MAE RECOVERY HOPE INC. (NPI# 1871985374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871985374 |
| Entity Type | Organization |
| Organization Name | EVA MAE RECOVERY HOPE INC. |
| Other Organization Name | EVA MAE CLINIC |
| Practice Address |
6614 S Halsted St Suite 102 Chicago IL 60621-1812 |
| Practice Telephone | 7739526861 |
| Practice Fax Number | 7739526868 |
| Mailing Telephone | 7739526861 |
| Mailing Fax Number | 7739526868 |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MR. ADENIYI KUYE (PRESIDENT) |
| Authorized Official Telephone | 7739526861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
A-5581-0001-A | IL | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-5581-001-A | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eva Mae Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10723 S Halsted St, Chicago, IL 606283107 | 7739418068 | 7739418088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277964 | Eva Mae Recovery Hope Inc. | Clinic/Center | 10723 S Halsted St, Chicago, IL 60628-3107 | 2019-07-19 |
| Street Address |
6614 S HALSTED ST SUITE 102 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366639056 | Joseph J Panzo | Chiropractor | 6614 S Halsted St, Suite 103, Chicago, IL 60621-1812 | 2007-09-26 |
| 1083871115 | Thomas E Vandyke | Physician Assistant | 6614 S Halsted St, Chicago, IL 60621-1812 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| 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.