Organization
SUNDANCE METHADONE TREATMENT CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY P WOODARD MA/CADC (PROGRAM DIRECTOR)
(773) 769-4545
Entity
Organization
Contact information
Practice address
4545 N BROADWAY ST, 3RD FLOOR, CHICAGO, IL 60640-5975
(773) 784-1111
(773) 784-4910
Mailing address
4545 N BROADWAY ST, 3RD FLOOR, CHICAGO, IL 60640-5975
(773) 784-1111
(773) 784-4910
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
A31350001
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A31350001
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
A31350001
IL
324500000X
Substance Abuse Rehabilitation Facility
A31350001
IL
Other
Enumeration date
09/10/2012
Last updated
11/16/2021
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