Brooktree Arlington Il LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-7216-0001-A Issued in IL

Legal business name

BROOKTREE ARLINGTON IL LLC

Doing business as

Footprints to Recovery

Practice address

3265 N Arlington Heights Rd
Suite 309
Arlington Heights, IL 60004-1533

Phone

(412) 927-0048

NPI assigned

Jun 8, 2015

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hirsch Chinn

Title

Coo

Phone

(412) 927-0048

Specialties & licenses 1

Addresses

Other names 1

• Footprints to Recovery Doing business as

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1023498789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087230090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 309",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041533",
            "telephone_number": "412-927-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKTREE ARLINGTON IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "HIRSCH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "412-927-0048"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-7216-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Footprints to Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Arlington Heights, IL
• Providers in Arlington Heights, 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 Jan 13, 2017; 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.