Healthcare Provider Details

I. General information

NPI: 1427988112
Provider Name (Legal Business Name): ALCOSYSTEMS TECHNOLOGY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N MICHIGAN AVE STE 1950
CHICAGO IL
60601-7550
US

IV. Provider business mailing address

150 N MICHIGAN AVE STE 1950
CHICAGO IL
60601-7550
US

V. Phone/Fax

Practice location:
  • Phone: 917-724-0631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. NANDINI YADAV
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 201-918-8760