Healthcare Provider Details

I. General information

NPI: 1164648648
Provider Name (Legal Business Name): ALTERNATIVES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 N SHERIDAN RD
CHICAGO IL
60640-5022
US

IV. Provider business mailing address

4730 N SHERIDAN RD
CHICAGO IL
60640-5022
US

V. Phone/Fax

Practice location:
  • Phone: 773-506-7474
  • Fax: 773-506-9420
Mailing address:
  • Phone: 773-506-7474
  • Fax: 773-506-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number069226-11
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberA-0328-0001-A
License Number StateIL

VIII. Authorized Official

Name: MS. BESSIE ALCANTARA
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.W.
Phone: 773-506-7474