MCDERMOTT CENTER (NPI# 1346628591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346628591 |
| Entity Type | Organization |
| Organization Name | MCDERMOTT CENTER |
| Other Organization Name | HAYMARKET CENTER |
| Practice Address |
108 N Sangamon St 5th Floor Chicago IL 60607-2202 |
| Mailing Address |
932 W Washington Blvd Chicago IL 60607-2217 |
| Practice Telephone | 3122267984 |
| Practice Fax Number | 3122268048 |
| Mailing Telephone | 3122267984 |
| Mailing Fax Number | 3122268048 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | RAYMOND F SOUCEK (PRESIDENT & CEO) |
| Authorized Official Telephone | 3122267984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0349-0041-A | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Haymarket Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861870503 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 10000 West Ohare Avenue, O'hare International Airport, Chicago, IL 60666 | 2015-05-14 |
| 1356729479 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 124 N Sangamon St, 6th Floor, Chicago, IL 60607-2202 | 2015-05-08 |
| 1780061259 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 215 W Water St, Waukegan, IL 60085-5616 | 2015-05-04 |
| 1902283641 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 932 W Washington Blvd, 6th Floor, Room 604-611, Chicago, IL 60607-2217 | 2015-05-01 |
| 1518034693 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 120 N Sangamon St, Chicago, IL 60607-2202 | 2006-11-30 |
| 1265807390 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 120 N Sangamon St, 4th Floor, Chicago, IL 60607-2202 | 2015-12-01 |
| 1720466386 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 124 N Sangamon St, 1,2,3,4,5th Floor, Chicago, IL 60607-2202 | 2015-05-14 |
| 1265810832 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 108 N Sangamon St, 3rd Floor, Chicago, IL 60607-2202 | 2015-05-14 |
| 1447638002 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 932 W Washington Blvd, 3rd Floor, Rooms 303,304,305,307, Chicago, IL 60607-2217 | 2015-05-14 |
| 1184002743 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 120 N Sangamon St, 5th Floor, Chicago, IL 60607-2202 | 2015-05-14 |
| Street Address |
108 N SANGAMON ST 5TH FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376080572 | Mc Dermott Center | Clinic/Center | 108 N Sangamon St, Chicago, IL 60607-2202 | 2017-01-25 |
| 1265810832 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 108 N Sangamon St, 3rd Floor, Chicago, IL 60607-2202 | 2015-05-14 |
| 1366820920 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 108 N Sangamon St, 5th Floor, Chicago, IL 60607-2202 | 2015-05-14 |
| 1023496221 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 108 N Sangamon St, 4th Floor, Chicago, IL 60607-2202 | 2015-05-08 |
| 1588042782 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 108 N Sangamon St, 3rd Floor, Rm 319-329, Chicago, IL 60607-2202 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| 1891296802 | The Ids Group Chicago | Substance Abuse Rehabilitation Facility | 1117 N Ashland Ave, Chicago, IL 60622-3986 | 2018-02-25 |
| 1548774961 | Prentice Place | Substance Abuse Rehabilitation Facility | 255 W 112th Pl, Chicago, IL 60628-4132 | 2017-11-21 |
| 1821537739 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 28 W 113th Pl, Chicago, IL 60628-4811 | 2017-02-13 |
| 1538608443 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 44 W 112th Pl, Chicago, IL 60628-4806 | 2017-02-13 |
| 1093254906 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 139 W 112th St, Chicago, IL 60628-4803 | 2017-02-13 |
| 1083152359 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 103 W 112th St, Chicago, IL 60628-4803 | 2017-02-07 |
| 1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.