NPIMap

Organization Active NPI

Abacus Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elgin, IL
National Provider Identifier
1356560320
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A00150001A Issued in IL
Legal business name
ABACUS PROGRAM
Practice address
555 Tollgate Rd Ste a
Elgin, IL 60123-9314
Phone
(847) 742-0413
Fax
(847) 742-1393
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Mr. Dennis M Dee, MA, CADC, LCPC, MISA
Title
Program Director
Phone
(847) 742-0413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A00150001A IL Primary

Addresses

Primary practice location

555 Tollgate Rd Ste a
Elgin, IL 60123-9314

Mailing address

555 Tollgate Rd Ste a
Elgin, IL 60123-9314
Phone (847) 742-0413

National Provider Directory

National Provider Directory

Locations

555 Tollgate Rd
Ste A
Elgin, IL 60123
Phone (847) 742-0413

Practitioners & affiliated clinicians

Practitioners 1

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1356560320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 TOLLGATE RD STE A",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239314",
            "telephone_number": "847-742-0413",
            "fax_number": "847-742-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TOLLGATE RD STE A",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239314",
            "telephone_number": "847-742-0413",
            "fax_number": "847-742-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACUS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "DEE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "847-742-0413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, CADC, LCPC, MISA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A00150001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.