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Organization

CRC INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY EIMERMAN (CHIEF ADMINISTRATIVE OFFICER)
(630) 291-0795
Entity
Organization

Contact information

Practice address
2350 NORTH LINCOLN AVE, FLOOR 5, CHICAGO, IL 60614
(630) 291-0795
Mailing address
2350 NORTH LINCOLN AVE, FLOOR 5, CHICAGO, IL 60614
(630) 291-0795

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
163WI0500X
Infusion Therapy Registered Nurse
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/26/2021
Last updated
10/21/2021
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