AVANCE INC. (NPI# 1740841840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740841840 |
| Entity Type | Organization |
| Organization Name | AVANCE INC. |
| Practice Address |
4765 N Lincoln Ave Chicago IL 60625-2077 |
| Practice Telephone | 7732931770 |
| Practice Fax Number | 7732933890 |
| Mailing Telephone | 7732931770 |
| Mailing Fax Number | 7732933890 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | ERIC R MATUL (THERAPIST) |
| Authorized Official Telephone | 7732931770 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Avance Inc. | Doing Business As Name - Organization |
| Street Address |
4765 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-2077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386779445 | Gateway Foundation, Inc | Substance Abuse Rehabilitation Facility | 55 E Jackson Blvd, Suite 1500, Chicago, IL 60604-4466 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1891001723 | Ford County Court Services | Substance Abuse Rehabilitation Facility | 200 W State St, Paxton, IL 60957-1179 | 2010-08-30 |
| 1558599803 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 215 N. Court Street, Methodist Church, Rockford, IL 61103-6802 | 2009-06-25 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1326216151 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 1261 Il Rte 38, Nachusa, IL 61057 | 2008-02-14 |
| 1275744385 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 1261 Illinois Route# 38, Phoenix Unit, Nachusa, IL 61057-0100 | 2007-05-24 |
| 1841249372 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 118 East Lincoln Street, Onarga, IL 60955 | 2006-05-10 |
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| 1790271849 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 101 N Bramble St, Manteno, IL 60950-9303 | 2018-07-02 |
| 1699153213 | Inspired Incorporated | Substance Abuse Rehabilitation Facility | 8704 State St, East Saint Louis, IL 62203-2048 | 2015-05-14 |
| Find all providers with the same taxonomy | ||||
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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.