MEDICARE: NUWAY COMMUNITY SERVICES 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	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
2	261QM2800X	Methadone Clinic	72370002A	IL
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1811035546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUWAY COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	110 E 79TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-2302
Country	:	US
Telephone Number	:	773-723-2790
Fax Number	:	773-723-2986

Provider Business Practice Location Address
First Line	:	110 E 79TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-2302
Country	:	US
Telephone Number	:	773-723-2790
Fax Number	:	773-723-2986

Authorized Official
Title or Position	:	BILLING SPECIALIST
Name	:	ROBERT J WILLIAMS
Credential	:
Telephone Number	:	773-723-2790

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	03/24/2026

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