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General NPI Number Information
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NPI Number | 1831580588
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Entity Type | Organization
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Legal Business Name | HEALTHCARE ALTERNATIVE SYSTEMS, INC.
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Dates
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Enumeration Date | 02/16/2015
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 1915 W ROOSEVELT RD
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City | BROADVIEW
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State | IL
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Zip | 60155-2925
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Country | US
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Telephone | 708-334-7089
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Fax | 708-334-7141
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Provider Business Mailing Address
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Address Line | 4734 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-3322
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Country | US
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Telephone | 773-252-3100
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Fax | 773-252-8945
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Authorized Official
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Title or Position | VP BUSINESS/IT
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Name | TOM HARTMANN
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Credential |
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Telephone | 773-252-8945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | A-0589-O013-A
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License Number State | IL
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