THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (NPI# 1821571274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821571274 |
| 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 | 7086473350 |
| Mailing Telephone | 7086473350 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | RAMASWAMY SRINIVASAN (CEO) |
| Authorized Official Telephone | 7086473350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| 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 |
| 1568837078 | The South Suburban Council On Alcoholism and Substance Abuse | Substance Abuse Rehabilitation Facility | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2015-12-09 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 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.