Healthcare Provider Details

I. General information

NPI: 1285797761
Provider Name (Legal Business Name): CENTER FOR ADDICTIVE PROBLEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 N WELLS ST
CHICAGO IL
60654-3714
US

IV. Provider business mailing address

609 N WELLS ST
CHICAGO IL
60610-3714
US

V. Phone/Fax

Practice location:
  • Phone: 312-266-0404
  • Fax: 312-266-8169
Mailing address:
  • Phone: 312-266-0404
  • Fax: 312-266-8169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License NumberO-2027-0061-O
License Number StateIL

VIII. Authorized Official

Name: DR. CRAIG V SHOWALTER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 312-266-0404