ADAPT OF ILLINOIS, INC. (NPI# 1811289473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811289473 |
| Entity Type | Organization |
| Organization Name | ADAPT OF ILLINOIS, INC. |
| Practice Address |
901 S Austin Blvd Chicago IL 60644-5311 |
| Mailing Address |
105 W Madison St Ste 1600 Chicago IL 60602-4652 |
| Practice Telephone | 8775539440 |
| Practice Fax Number | 3125539441 |
| Mailing Telephone | 8775539440 |
| Mailing Fax Number | 3125539441 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |
| Authorized Official Name | CYNTHIA JANICAK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8775539440 |
| Authorized Official Credential | MS |
| Is Organization Subpart | Y |
| Parent Organization Name | ADAPT OF AMERICA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 04003 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780935965 | Adapt of Illinois, Inc. | Community Based Residential Treatment Facility, Mental Illness | 220 S 17th St, Belleville, IL 62226-7628 | 2012-09-27 |
| 1013209675 | Adapt of Illinois, Inc. | Community/Behavioral Health | 614 Summit Ave, Collinsville, IL 62234-3728 | 2011-05-13 |
| 1346532900 | Adapt of Illinois, Inc. | Community Based Residential Treatment Facility, Mental Illness | 517 Catawba Ave, Swansea, IL 62226-1659 | 2011-05-13 |
| 1720370489 | Adapt of Illinois, Inc. | Community Based Residential Treatment Facility, Mental Illness | 20 N 9th St, Belleville, IL 62220-1150 | 2011-05-12 |
| 1548321250 | Adapt of Illinois, Inc. | Community/Behavioral Health | 105 W Madison St, Suite 800, Chicago, IL 60602-4602 | 2006-12-13 |
| 1174815732 | Adapt of Illinois, Inc. | Community/Behavioral Health | 5838 N Sheridan Rd, Chicago, IL 60660-4916 | 2011-05-13 |
| 1366734923 | Adapt of Illinois, Inc. | Community/Behavioral Health | 430 S Front St, Cobden, IL 62920-2415 | 2011-05-13 |
| 1356633911 | Adapt of Illinois, Inc. | Community/Behavioral Health | 310 Banbury Rd, North Aurora, IL 60542-1260 | 2011-05-13 |
| 1629360284 | Adapt of Illinois, Inc. | Community/Behavioral Health | 321 Arnold Ave, Rockford, IL 61108-2315 | 2011-05-13 |
| 1164714721 | Adapt of Illinois, Inc. | Community/Behavioral Health | 2600 West Blvd, Belleville, IL 62221-5605 | 2011-05-13 |
| Street Address |
901 S AUSTIN BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578041 | Generations At Columbus Park,inc | Skilled Nursing Facility | 901 S Austin Blvd, Chicago, IL 60644-5304 | 2005-06-14 |
| 1649885641 | Katelyn Kirn | Occupational Therapy Assistant | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2020-09-15 |
| 1003381757 | Segun Babatunde Oguntoba | Nurse Practitioner | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2018-10-09 |
| 1851873459 | Austin Oasis, LLC | Skilled Nursing Facility | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2018-08-30 |
| 1114334695 | Yuzhen Zeng | Nurse Practitioner | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2014-07-17 |
| 1578978334 | Edie Moncada | Physical Therapy Assistant | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2014-06-30 |
| 1477896959 | Christina Lynn Reddington | Nurse Practitioner | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2013-04-02 |
| 1336437375 | Domingo Baltazar | Physical Therapy Assistant | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2011-07-12 |
| 1487974069 | Arlene Buford-hines | Occupational Therapist | 901 S Austin Blvd, Chicago, IL 60644-5311 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| 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.