Organization
HAZELDEN CHICAGO
Active
Organization
HAZELDEN CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GIBSON (VP PAYER RELATIONS)
(651) 213-4519
Entity
Organization
Contact information
Practice address
867 N DEARBORN ST, CHICAGO, IL 60610-3310
(800) 257-7800
(312) 943-3530
Mailing address
867 N DEARBORN ST, CHICAGO, IL 60610-3310
(800) 257-7810
(312) 943-3530
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-9403-0001-P
IL
Other
Enumeration date
01/02/2007
Last updated
05/16/2025
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