MEDICARE: HEALTHCARE ALTERNATIVE SYSTEMS, 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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A-0589-0014-A	OTHER	IL	SUPR

General Provider Information

NPI Number	:	1437538014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE ALTERNATIVE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	4734 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3322
Country	:	US
Telephone Number	:	773-252-3100
Fax Number	:	773-252-8945

Provider Business Practice Location Address
First Line	:	1713 S ASHLAND AVE
Second Line	:	ROOM NO. 702-805
City	:	CHICAGO
State	:	IL
Zip	:	60608-2014
Country	:	US
Telephone Number	:	773-505-3173
Fax Number	:	312-746-7478

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. MARCO EDUARDO JACOME
Credential	:	MA, LPC, CADC, CEAP
Telephone Number	:	773-252-3100

Provider Enumeration Date	:	05/28/2015
Last Update Date	:	02/21/2023

Similar Medicare Providers

1417959800 — CITY OF CHICAGO
Practice Location Address:

1713 S ASHLAND AVE
CHICAGO, IL
60608-2014

Practice Phone: 312-746-5157
Practice Fax: 312-746-7478

1659697969 — CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice Location Address:

1713 S ASHLAND AVE
CHICAGO, IL
60608-2014

Practice Phone: 312-746-5157
Practice Fax:

1619396371 — LUIS L RIVERA M.D.
Practice Location Address:

1713 S ASHLAND AVE
CHICAGO, IL
60608-2014

Practice Phone: 312-413-4179
Practice Fax: 312-413-4188

1144638560 — SONRISA DENTAL ON ASHLAND
Practice Location Address:

1713 S ASHLAND AVE
CHICAGO, IL
60608-2014

Practice Phone: 630-730-3233
Practice Fax: 773-484-1205

1942698295 — MRS. KATHLEEN TERESE QUACKENBUSH
Practice Location Address:

2014 W 22ND PL , UNIT 1
CHICAGO, IL
60608-4114

Practice Phone: 630-429-6869
Practice Fax:

1407235401 — HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Practice Location Address:

1713 S ASHLAND AVE , ROOM NO. 702-805
CHICAGO, IL
60608-2014

Practice Phone: 773-505-3173
Practice Fax: 312-746-7478

Directions to “HEALTHCARE ALTERNATIVE SYSTEMS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.