Cap Of Downers Grove, Inc in Downers Grove - Methadone
Cap Of Downers Grove, Inc - NPI 1184787038
Cap Of Downers Grove, Inc is a Methadone in Downers Grove, Illinois. Cap Of Downers Grove, Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Cap Of Downers Grove, Inc is 1184787038. The last update date is 2020-05-14.
Cap Of Downers Grove, Inc's current location address is 4954 Main St, Downers Grove, Illinois. You can contact this provider via phone number 6308100186 and fax number 6308100179. The mailing address for Cap Of Downers Grove, Inc is 4954 Main St, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cap Of Downers Grove, Inc |
|---|---|
| Address | 4954 Main St, Downers Grove, Illinois |
| Phone Number | 6308100186 |
| Fax Number | 6308100179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Showalter V Craig |
| Credentials | M.D. |
| Telephone Number | 6308100186 |
NPI Number Detail
| NPI Number | 1184787038 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2020-05-14 |
Provider Mailing Address Detail
| Address | 4954 Main St |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 605153611 |
| Phone Number | 6308100186 |
| Fax Number | 6308100179 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | A-3027-0001- |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2232810 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cap Of Downers Grove, Inc by the Centers for Medicare & Medicaid Services?
The Cap Of Downers Grove, Inc has been issued the NPI (National Provider Identifier) 1184787038, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Cap Of Downers Grove, Inc located?
The Cap Of Downers Grove, Inc is located at 4954 Main St, Downers Grove, IL 605153611.
What is the area of specialization for Cap Of Downers Grove, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cap Of Downers Grove, Inc is Methadone, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184787038 to Cap Of Downers Grove, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1184787038 to Cap Of Downers Grove, Inc on 2006-12-19.
As of what date were the details related to Cap Of Downers Grove, Inc most recently updated or revised?
The information pertaining to Cap Of Downers Grove, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-14.