CHICAGO TREATMENT & COUNSELING CENTER #3
NPI 1376079046
Clinic/Center - Rehabilitation, Substance Use Disorder in Cicero, IL

NPI Status: Active since May 02, 2017

Contact Information

1849 S CICERO AVE
CICERO, IL
ZIP 60804
Phone: (708) 656-9500
Fax: (708) 656-0794

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CHICAGO TREATMENT & COUNSELING CENTER #3

This page provides the complete NPI Profile along with additional information for Chicago Treatment & Counseling Center #3, a provider established in Cicero, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1376079046 assigned on May 2017. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Hemlata Vaidya (Medical Director)

NPI
1376079046
Provider Name
CHICAGO TREATMENT & COUNSELING CENTER #3
Entity Type
Organization
Location Address
1849 S CICERO AVE CICERO, IL 60804
Location Phone
(708) 656-9500
Location Fax
(708) 656-0794
Mailing Address
1849 S CICERO AVE CICERO, IL 60804
Mailing Phone
(708) 656-9500
Mailing Fax
(708) 656-0794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2017
Last Update Date
02-25-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

036069638 (IL)
2261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 
3276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEMLATA VAIDYA

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(708) 656-9500

Reviews for CHICAGO TREATMENT & COUNSELING CENTER #3

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376079046
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146071808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 0 + 7 + 1 + 8 + 0 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1376079046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447611462 ERICA BRANCH LPN
Individual
Licensed Practical Nurse1849 S CICERO AVE
CICERO, IL 60804
(708) 656-9500
1043671050 BHARATI DEV
Individual
Counselor (Addiction (Substance Use Disorder))1849 S CICERO AVE
CICERO, IL 60804
(708) 656-9500
1609237627 LARRY COATS CADC
Individual
Counselor (Addiction (Substance Use Disorder))1849 S CICERO AVE
CICERO, IL 60804
(708) 656-9500
1073265047 STEFANIE BRYANT
Individual
Licensed Practical Nurse1849 S CICERO AVE
CICERO, IL 60804
(708) 656-9500
1376295352 DAISY OCAMPO
Individual
Student in an Organized Health Care Education/Training Program1849 S CICERO AVE
CICERO, IL 60804
(708) 656-9500
1407508559 ELPINIKI ECONOMOU
Individual
Student in an Organized Health Care Education/Training Program1849 S CICERO AVE
CICERO, IL 60804
(708) 656-9500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376079046, enumerated in the NPI registry as an "organization" on May 02, 2017

The provider is located at 1849 S Cicero Ave Cicero, Il 60804 and the phone number is (708) 656-9500

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on May 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.