Greater Works Reintegration Outreach Center, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GREATER WORKS REINTEGRATION OUTREACH CENTER, INC.

Practice address

4747 Lincoln Mall Dr Ste 410
Matteson, IL 60443-3821

Phone

(630) 499-6197

Fax

(630) 423-7873

NPI assigned

Mar 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ethel Ann Bass, PHD, CADC, CODP1NPI 1629807250

Title

Ceo

Phone

(630) 499-6197

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethel Ann Bass, PHD, CADC, CODP1

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1629807250
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1013718303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18247 CORK RD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774709",
            "telephone_number": "773-837-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 410",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433821",
            "telephone_number": "630-499-6197",
            "fax_number": "630-423-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER WORKS REINTEGRATION OUTREACH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-499-6197",
        "authorized_official_credential": "PHD, CADC, CODP1"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.