Organization
THERAPEUTIC INTERVENTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY SHAH (CEO, OWNER)
(847) 991-4800
Entity
Organization
Contact information
Practice address
1645 HICKS RD STE A, ROLLING MEADOWS, IL 60008-1222
(847) 991-4800
(847) 991-4866
Mailing address
1645 HICKS RD STE A, ROLLING MEADOWS, IL 60008-1222
(847) 991-4800
(847) 991-4866
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
A-6192-0001-A
IL
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622143
BC PPO PROVIDER #
IL
01
—
50012
BC HMO PROVIDER #
IL
01
—
7511075
AETNA PROVIDER #
IL
Enumeration date
01/16/2007
Last updated
08/26/2021
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