Organization
ACCESS BEHAVIORAL SERVICES
Active
Organization
ACCESS BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTINA ONTIVEROS MA (PRESIDENT/CEO)
(773) 522-5460
Entity
Organization
Contact information
Practice address
3948 W 26TH ST, SUITE 114, CHICAGO, IL 60623-3738
(773) 522-5460
(773) 522-5465
Mailing address
3948 W 26TH ST, SUITE 114, CHICAGO, IL 60623-3738
(773) 522-5460
(773) 522-5465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
A-8712-0001-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-8712-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-8712-0001-A
STATE LICENSE
IL
Enumeration date
03/15/2014
Last updated
03/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up