Organization
CHICAGO TREATMENT AND COUNSELING CENTERS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMLATA P VAIDYA M.D. (MEDICAL DIRECTOR)
(773) 523-3400
Entity
Organization
Contact information
Practice address
3520 S ASHLAND AVE, CHICAGO, IL 60609-1317
(312) 399-5282
Mailing address
9350 CASCADE CIR, BURR RIDGE, IL 60527-0712
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
036069638
IL
261QM2800X
Methadone Clinic
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
09/01/2021
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