NPIMap

Organization Active NPI

Lester and Rosalie Anixter Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1073063863
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LESTER AND ROSALIE ANIXTER CENTER
Practice address
1425 W Estes Ave
Chicago, IL 60626-2625
Phone
(773) 973-4780
Fax
(773) 973-1895
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Mary Desmond
Title
Senior Director of Finance
Phone
(773) 761-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1425 W Estes Ave
Chicago, IL 60626-2625

Mailing address

6610 N Clark St
Chicago, IL 60626-4062
Phone (773) 761-1501

Other names 1

  • Anixter Center at Atrium Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Lester and Rosalie Anixter Center26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1073063863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264062",
            "telephone_number": "773-761-1501",
            "fax_number": "773-977-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W ESTES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262625",
            "telephone_number": "773-973-4780",
            "fax_number": "773-973-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER AND ROSALIE ANIXTER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "773-761-1501"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anixter Center at Atrium Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Anixter Center at Atrium Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.