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NPI Code Detail

MEDICARE: CENTER FOR ADDICTIVE PROBLEMS, INC

MEDICARE: CENTER FOR ADDICTIVE PROBLEMS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2261QM2800XMethadone ClinicO-2027-0061-OIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121609559OTHERILBCBS OF ILLINOIS

General Provider Information

NPI Number : 1285797761
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR ADDICTIVE PROBLEMS, INC
Provider Business Mailing Address
First Line : 609 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3714
Country : US
Telephone Number : 312-266-0404
Fax Number : 312-266-8169
Provider Business Practice Location Address
First Line : 609 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-3714
Country : US
Telephone Number : 312-266-0404
Fax Number : 312-266-8169
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CRAIG V SHOWALTER
Credential : M.D.
Telephone Number : 312-266-0404
Provider Enumeration Date : 12/18/2006
Last Update Date : 08/26/2025

Similar Medicare Providers

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Practice Location Address:
609 N WELLS ST
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Practice Phone: 312-266-0404
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1376494450 — MARGO BROOKS LCPC
Practice Location Address:
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1578414652 — MARIE ANGELICO LCSW
Practice Location Address:
609 N WELLS ST
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Practice Fax: 312-266-8169
1063363067 — LINDA SULLIVAN LCPC
Practice Location Address:
609 N WELLS ST
CHICAGO, IL
60654-3714
Practice Phone: 312-266-0404
Practice Fax: 312-266-8169
1538010491 — ASHLEIGH JORDAN LPN
Practice Location Address:
609 N WELLS ST
CHICAGO, IL
60654-3714
Practice Phone: 312-266-0404
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1720527229 — SHERRI NAHIN LCSW, CADC
Practice Location Address:
1901 W HARRISON ST
CHICAGO, IL
60612-3714
Practice Phone: 312-864-7760
Practice Fax: 312-864-9705

Directions to “CENTER FOR ADDICTIVE PROBLEMS, INC ” Practice Location

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