NPIMap

Organization Active NPI

Restoration Center Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1114439346
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESTORATION CENTER CHICAGO
Practice address
1200 W 35TH St Ste 5B5220
Chicago, IL 60609-1305
Phone
(312) 548-9051
NPI assigned
Oct 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Samantha LussierNPI 1275728370
Title
Founder
Phone
(312) 549-9051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1200 W 35TH St Ste 5B5220
Chicago, IL 60609-1305

Mailing address

1200 W 35TH St Ste 5B5220
Chicago, IL 60609-1305
Phone (312) 548-9051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1114439346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 35TH ST STE 5B5220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091305",
            "telephone_number": "312-548-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 35TH ST STE 5B5220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091305",
            "telephone_number": "312-548-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CENTER CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "LUSSIER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "312-549-9051"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 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.