Active NPI
Cornell Interventions, Inc.
- Substance Abuse Rehabilitation Facility
- Willowbrook, IL
National Provider Identifier
1083769608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- A-8981-0013-A
- Legal business name
- CORNELL INTERVENTIONS, INC.
- Practice address
- 11 S250 Kingery Hwy
Willowbrook, IL 60527-6851 - Phone
- (630) 968-6477
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan Peter Swatsburg
- Title
- Divisional Vice President
- Phone
- (412) 201-4111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | A-8981-0013-A | IL | |
| Substance Abuse Rehabilitation Facility | 324500000X | A-8981-0013-A | IL | Primary |
Addresses
Primary practice location
11 S250 Kingery Hwy
Willowbrook, IL 60527-6851
Mailing address
11 S250 Kingery Hwy
Willowbrook, IL 60527-6851
Phone (630) 968-6477
Other names 1
- Cornell Companies
National Provider Directory
National Provider Directory- Tax ID family
- Cornell Companies
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
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- Substance Abuse Rehabilitation Facility
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- NPI 1134274301
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- NPI 1225183494
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-
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- Substance Abuse Rehabilitation Facility
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-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471564800000",
"number": "1083769608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S250 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605276851",
"telephone_number": "630-968-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 S250 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605276851",
"telephone_number": "630-968-6477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNELL INTERVENTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2016-08-19",
"status": "A",
"authorized_official_last_name": "SWATSBURG",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "DIVISIONAL VICE PRESIDENT",
"authorized_official_telephone_number": "412-201-4111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "IL",
"license": "A-8981-0013-A",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "IL",
"license": "A-8981-0013-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornell Companies",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.