Organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Active
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official
PAMELA F DAVIS (DEPARTMENT DIRECTOR)
(312) 655-7167
Entity
Organization
Contact information
Practice address
721 N LA SALLE DR, CHICAGO, IL 60654-3751
(773) 349-8052
Mailing address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(312) 655-7167
(312) 382-1612
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0173-0016-A
DASA
IL
Enumeration date
03/28/2007
Last updated
05/31/2023
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