Organization
MCDERMOTT CENTER
Active
Other names
Haymarket Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAN LUSTIG (PRESIDENT/CEO)
(312) 226-7984
Entity
Organization
Contact information
Practice address
108 N SANGAMON ST FL 5, CHICAGO, IL 60607-2202
(312) 226-7984
(312) 226-8048
Mailing address
932 W WASHINGTON BLVD, CHICAGO, IL 60607-2217
(312) 226-7984
(312) 226-8048
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0349-0048-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349-0063
—
IL
Enumeration date
05/08/2015
Last updated
04/09/2022
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