NPIMap

Organization Active NPI

Healthcare Alternative Systems

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1245772284
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-0589-0015-A Issued in IL
Legal business name
HEALTHCARE ALTERNATIVE SYSTEMS
Practice address
2100 W Warren Blvd
Chicago, IL 60612-2310
Phone
(773) 252-3100
NPI assigned
Nov 8, 2016
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Marco Jacome
Title
Ceo
Phone
(773) 252-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0589-0015-A IL Primary

Addresses

Primary practice location

2100 W Warren Blvd
Chicago, IL 60612-2310

Mailing address

4734 W Chicago Ave
Chicago, IL 60651-3322
Phone (773) 252-3100

Other identifiers 1

IdentifierTypeStateIssuer
A-0589-0015-AOtherILDHS LICENSURE

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Alternative Systems Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

2100 W Warren Blvd
Chicago, IL 60612
Phone (312) 738-1414

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1245772284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513322",
            "telephone_number": "773-252-3100",
            "fax_number": "773-252-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W WARREN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122310",
            "telephone_number": "773-252-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE ALTERNATIVE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JACOME",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-252-3100"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-0589-0015-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSURE",
            "identifier": "A-0589-0015-A",
            "state": "IL"
        }
    ],
    "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 Feb 21, 2023; 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.