Organization
CRC INSTITUTE, LLC
Active
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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