Organization
MCDERMOTT CENTER
Active
Organization
MCDERMOTT CENTER
Active
Other names
Haymarket Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN LUSTIG (PRESIDENT/CEO)
(312) 226-7984
Entity
Organization
Contact information
Practice address
932 W WASHINGTON BLVD, 3RD FLOOR, ROOMS 303,304,305,307, CHICAGO, IL 60607-2217
(312) 226-7984
(312) 226-8048
Mailing address
932 WEST WASHINGTON BLVD, CHICAGO, IL 60607
(312) 226-7984
(312) 226-8048
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0349-0055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349-0055
—
IL
Enumeration date
05/14/2015
Last updated
04/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up