Organization Active NPI

Choices Treatment Center

  • Clinic/Center
  • Aurora, IL
National Provider Identifier
1164906111
Registry record updated Sep 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHOICES TREATMENT CENTER
Practice address
2823 Pontiac Dr
Aurora, IL 60502-8806
Phone
(312) 489-4715
NPI assigned
Sep 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2018

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

Authorized official

Name
Mr. Marvin Coklow
Title
Asssitant Direector
Phone
(773) 597-7698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2823 Pontiac Dr
Aurora, IL 60502-8806

Mailing address

2823 Pontiac Dr
Aurora, IL 60502-8806

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537056000000",
    "number": "1164906111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 PONTIAC DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 PONTIAC DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028806",
            "telephone_number": "312-489-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-16",
        "last_updated": "2018-09-16",
        "status": "A",
        "authorized_official_last_name": "COKLOW",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "ASSSITANT DIREECTOR",
        "authorized_official_telephone_number": "773-597-7698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2018; 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.