Pdssc-Chicago, Inc. in Chicago - Rehabilitation, Substance Use Disorder
Pdssc-Chicago, Inc. - NPI 1316151871
Pdssc-Chicago, Inc. is a Rehabilitation, Substance Use Disorder in Chicago, Illinois. Pdssc-Chicago, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Pdssc-Chicago, Inc. is 1316151871. The last update date is 2018-06-05.
Pdssc-Chicago, Inc.'s current location address is 2260 N Elston Ave, Chicago, Illinois. You can contact this provider via phone number 7737722450. The mailing address for Pdssc-Chicago, Inc. is 2260 N Elston Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdssc-Chicago, Inc. |
|---|---|
| Address | 2260 N Elston Ave, Chicago, Illinois |
| Phone Number | 7737722450 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davis P Kenneth |
| Credentials | MD, PH.D |
| Telephone Number | 7737722450 |
NPI Number Detail
| NPI Number | 1316151871 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2018-06-05 |
Provider Mailing Address Detail
| Address | 2260 N Elston Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606142930 |
| Phone Number | 7737722450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | A-3407-0001- |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
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What is the unique 10-digit identifier code assigned to Pdssc-Chicago, Inc. by the Centers for Medicare & Medicaid Services?
The Pdssc-Chicago, Inc. has been issued the NPI (National Provider Identifier) 1316151871 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Pdssc-Chicago, Inc.'s physical address?
The Pdssc-Chicago, Inc. is physically located at 2260 N Elston Ave, in the city of Chicago, IL, with the postal code 606142930.
What is the Pdssc-Chicago, Inc.'s area of specialization and corresponding taxonomy classification?
The Pdssc-Chicago, Inc.'s specialty field is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their specialties.
On what date did Pdssc-Chicago, Inc. receive its 1316151871 assignment from the Centers for Medicare & Medicaid Services?
The Pdssc-Chicago, Inc. was assigned its 1316151871 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Pdssc-Chicago, Inc. most recently updated or revised?
The information pertaining to Pdssc-Chicago, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2018-06-05.
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