MEDICARE: ALCOSYSTEMS TECHNOLOGY INCORPORATED

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
1	261QR0800X	Recovery Care Clinic/Center
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1427988112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALCOSYSTEMS TECHNOLOGY INCORPORATED

Provider Business Mailing Address
First Line	:	150 N MICHIGAN AVE STE 1950
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7550
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 N MICHIGAN AVE STE 1950
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7550
Country	:	US
Telephone Number	:	917-724-0631
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. NANDINI YADAV
Credential	:	MD
Telephone Number	:	201-918-8760

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/26/2026

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