THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (NPI# 1568837078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568837078 |
| Entity Type | Organization |
| Organization Name | THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE |
| Practice Address |
1909 Cheker Sq East Hazel Crest IL 60429-1442 |
| Practice Telephone | 7086473333 |
| Practice Fax Number | 7086473399 |
| Mailing Telephone | 7086473333 |
| Mailing Fax Number | 7086473399 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | MR. ALLEN SANDUSKY (PRESIDENT & CEO) |
| Authorized Official Telephone | 7086473300 |
| Authorized Official Credential | MA, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0621-0002-A | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1710049820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710049820 | The South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 174th St, Hazel Crest, IL 60429 | 2006-12-14 |
| 1598234874 | The South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2018-11-16 |
| 1821571274 | The South Suburban Council On Alcoholism and Substance Abuse | Clinic/Center | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2018-09-12 |
| Street Address |
1909 CHEKER SQ |
| City | EAST HAZEL CREST |
| State | IL |
| Zip Code | 60429-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362863 | South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2005-08-09 |
| 1003416298 | Jasmine Carter | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2020-10-28 |
| 1619509692 | Joseph Siegert | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2020-02-07 |
| 1811533847 | Adejumoke Alimi | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-11-25 |
| 1316581309 | Cierra Cook | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-11-01 |
| 1356993950 | Anita Mcclain | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-07-12 |
| 1982266698 | Russell Bergtold | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-07-02 |
| 1104482223 | Marne Chelsea Egarton | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-05-14 |
| 1841856077 | George Robert Carter Jr. | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-05-13 |
| 1730742446 | Derrick Bruce | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| 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 |
|---|---|---|---|---|
| 1558362863 | South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2005-08-09 |
| 1598234874 | The South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2018-11-16 |
| 1790131647 | Darnell Davis | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAZEL CREST |
| Zip Code | 60429 |
Please comment or provide details below to improve the information on THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE.
| 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.