MEDICARE: HABILITATIVE SYSTEMS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1588516363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABILITATIVE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	415 S KILPATRICK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644-4923
Country	:	US
Telephone Number	:	773-261-2252
Fax Number	:	773-773-8300

Provider Business Practice Location Address
First Line	:	1022 N MENARD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-4515
Country	:	US
Telephone Number	:	773-261-2252
Fax Number	:	773-773-8300

Authorized Official
Title or Position	:	DIRECTOR, MIS
Name	:	STEPHEN TWAVWICK ADAMS
Credential	:
Telephone Number	:	773-745-2631

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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