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1295854446 NPI number — CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

NPI Number: 1295854446
Health Care Provider/Practitioner: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

Information about “1295854446” NPI (CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO) exists in 1295854446 in HTML format HTML  |  1295854446 in plain Text format TXT  |  1295854446 in PDF (Portable Document Format) PDF  |  1295854446 in an XML format XML  formats.

NPI Number : 1295854446 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295854446",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
    "ParentOrgTIN": null,
    "OrgName": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1800 N HERMITAGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60622-1161",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-655-7167",
    "MailingAddressFaxNumber": "312-382-1612",
    "FirstLinePracticeLocationAddress": "721 N LA SALLE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60654-3751",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-349-8052",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/28/2007",
    "LastUpdateDate": "05/31/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "05/12/2023",
    "NPIReactivationDate": "05/31/2023",
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVIS",
    "AuthorizedOfficialFirstName": "PAMELA",
    "AuthorizedOfficialMiddleName": "F",
    "AuthorizedOfficialTitle": "DEPARTMENT DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "312-655-7167",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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