DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MCDERMOTT CENTER

MEDICARE: MCDERMOTT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation FacilityA-0349-0009-AIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184002206
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCDERMOTT CENTER
Provider Business Mailing Address
First Line : 932 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2217
Country : US
Telephone Number : 312-226-7984
Fax Number : 312-226-8048
Provider Business Practice Location Address
First Line : 120 N SANGAMON ST
Second Line : 2ND FLOOR
City : CHICAGO
State : IL
Zip : 60607-2202
Country : US
Telephone Number : 312-226-7984
Fax Number : 312-226-8048
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. DAN LUSTIG
Credential :
Telephone Number : 312-226-7984
Provider Enumeration Date : 05/08/2015
Last Update Date : 04/09/2022

Similar Medicare Providers

1952246811 — JEFFREY HASKEY-VALERIUS REGISTERED NURSE
Practice Location Address:
124 N SANGAMON ST
CHICAGO, IL
60607-2202
Practice Phone: 312-226-7984
Practice Fax: 312-980-0482
1518034693 — MCDERMOTT CENTER
Practice Location Address:
108 N SANGAMON ST FL 2
CHICAGO, IL
60607-2202
Practice Phone: 312-226-7984
Practice Fax: 312-226-8048
1902283641 — MCDERMOTT CENTER
Practice Location Address:
108 N SANGAMON ST FL 6
CHICAGO, IL
60607-2202
Practice Phone: 312-226-7984
Practice Fax: 312-226-8048
1356729479 — MCDERMOTT CENTER
Practice Location Address:
124 N SANGAMON ST , 6TH FLOOR
CHICAGO, IL
60607-2202
Practice Phone: 312-226-7984
Practice Fax: 312-226-8048
1437537552 — MCDERMOTT CENTER
Practice Location Address:
108 N SANGAMON ST FL 5
CHICAGO, IL
60607-2202
Practice Phone: 312-226-7984
Practice Fax: 312-226-8048
1063890184 — MCDERMOTT CENTER
Practice Location Address:
124 N SANGAMON ST , 5TH FLOOR
CHICAGO, IL
60607-2202
Practice Phone: 312-226-7984
Practice Fax: 312-226-8048

Directions to “MCDERMOTT CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.