Organization
CHICAGO TREATMENT & COUNSELING CENTER #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMLATA VAIDYA M.D (MEDICAL DIRECTOR)
(708) 656-9500
Entity
Organization
Contact information
Practice address
4453 N BROADWAY ST, CHICAGO, IL 60640-5659
(773) 506-2900
(773) 506-8987
Mailing address
4453 N BROADWAY ST, CHICAGO, IL 60640-5659
(773) 506-2900
(773) 506-8987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0360699638
IL
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
05/02/2017
Last updated
02/25/2022
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