THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
NPI 1568837078
Substance Abuse Rehabilitation Facility in East Hazel Crest, IL
NPI Status: Active since December 09, 2015
Contact Information
1909 CHEKER SQ
EAST HAZEL CREST, IL
ZIP 60429
Phone: (708) 647-3333
Fax: (708) 647-3399
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
About THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
This page provides the complete NPI Profile along with additional information for The South Suburban Council On Alcoholism And Substance Abuse, a provider established in East Hazel Crest, Illinois operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1568837078 assigned on December 2015. The practitioner's primary taxonomy code is 324500000X with license number A-0621-0002-A (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Allen Sandusky Ma, Mba (President & Ceo)
- NPI
- 1568837078
- Provider Name
- THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
- Entity Type
- Organization
- Location Address
- 1909 CHEKER SQ EAST HAZEL CREST, IL 60429
- Location Phone
- (708) 647-3333
- Location Fax
- (708) 647-3399
- Mailing Address
- 1909 CHEKER SQ EAST HAZEL CREST, IL 60429
- Mailing Phone
- (708) 647-3333
- Mailing Fax
- (708) 647-3399
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2015
- Last Update Date
- 12-09-2015
- Code Navigator
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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- A-0621-0002-A
- License State
- IL
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- MyBlue Plus Bronze? 903 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710049820 | MEDICAID (05) | IL |
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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. | |||||||||
| 1 | 5 | 6 | 8 | 8 | 3 | 7 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 16 | 3 | 14 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 6 + 3 + 1 + 4 + 0 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1568837078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609144310 | CLINTON UNDERHILLE Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 647-3397 |
| 1538437108 | ROBERT BULANDA Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 647-3397 |
| 1063755726 | JACKLYON PHILLIPS Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 754-8815 |
| 1619313889 | EDRENA DAVIS Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 331-0500 |
| 1184046203 | ANNETTE LONI Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 331-0500 |
| 1114335593 | BRIDGET COLE Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 444-1012 |
| 1366848780 | DORINE PAINO Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 331-0500 |
| 1669879417 | LINDA COLLAZO Individual | Licensed Practical Nurse | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 444-1012 |
| 1598156077 | LORRI PACE Individual | Counselor (Mental Health) | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 331-0500 |
| 1083005623 | CARA CATLETT Individual | Counselor (Mental Health) | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 331-0500 |
| 1366820482 | YVONNE WALKER Individual | Behavior Analyst | 1909 CHEKER SQ HAZEL CREST, IL 60429 (708) 444-1012 |
| 1316315336 | TIMOTHY KING Individual | Behavior Analyst | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 331-0500 |
| 1952763583 | JANET COLEMAN Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3303 |
| 1942662200 | THOMAS GARRY CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3323 |
| 1679936231 | PRISCILLA M DAVIS MA/MHS/CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3333 |
| 1275996829 | ROBERT LEE SR. Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3332 |
| 1649633256 | DOREEN GREEN LPC Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3333 |
| 1871956334 | TERRI BJARNSON CAADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3325 |
| 1134582679 | HALL HANES CSADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3333 |
| 1497118947 | JANINE LONIGRO Individual | Counselor (Addiction (Substance Use Disorder)) | 1909 CHEKER SQ EAST HAZEL CREST, IL 60429 (708) 647-3324 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568837078, enumerated in the NPI registry as an "organization" on December 09, 2015
The provider is located at 1909 Cheker Sq East Hazel Crest, Il 60429 and the phone number is (708) 647-3333
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 09, 2015. 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].
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