ALEXIAN BROTHERS (NPI# 1891900726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891900726 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS |
| Other Organization Name | BONAVENTURE HOUSE |
| Practice Address |
825 W Wellington Ave Chicago IL 60657-5123 |
| Practice Telephone | 7733279921 |
| Mailing Telephone | 7733279921 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BART WINTERS (CEO) |
| Authorized Official Telephone | 7733279921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0977-0001-A | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDHS DASA LICENSE | A09770001A | 01 |
| IL | IDPH LICENSE | 3000101 | 01 |
| Other Name | Type Code |
|---|---|
| Bonaventure House | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 |
| System for Award Management (SAM) Entities | ALEXIAN BROTHERS BETTENDORF PLACE, LLC | 825 W Wellington Ave, Chicago, IL 60657-9249 |
| System for Award Management (SAM) Entities | ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH | 3436 N. Kennicott Ave, Arlington Heights, IL 60004-7814 |
| System for Award Management (SAM) Entities | ALEXIAN BROTHERS HOSPITAL NETWORK | 2601 Navistar Dr Bldg 4, Lisle, IL 60532-3697 |
| Colorado Business Entities | ALEXIAN BROTHERS LANGUAGES LLC | 110 16th Street, Suite 1400, Denver, CO 80202 |
| System for Award Management (SAM) Entities | ALEXIAN BROTHERS SPECIALTY GROUP | 2601 Navistar Dr, Lisle, IL 60532-3679 |
| Street Address |
825 W WELLINGTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| 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.