NPIMap

Organization Active NPI

Lurie Children'S Adolescent Substance Abuse and Prevention Progarm

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1366925489
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LURIE CHILDREN'S ADOLESCENT SUBSTANCE ABUSE AND PREVENTION PROGARM
Practice address
1440 N Dayton St
Chicago, IL 60642-2644
Phone
(312) 227-4000
NPI assigned
Sep 13, 2018
Organization subpart
Yes
Parent organization
ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Alex P Miller
Title
Chief Financial Officer
Phone
(312) 227-1520

Specialties & licenses 1

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

Addresses

Primary practice location

1440 N Dayton St
Chicago, IL 60642-2644

Mailing address

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000

National Provider Directory

National Provider Directory
Tax ID family
Ann Robert H Lurie Children'S Hospital of Chicago18 organizations share this tax ID, including this one
Part of
Ann Robert H Lurie Children'S Hospital of Chicago

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1366925489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422644",
            "telephone_number": "312-227-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LURIE CHILDREN'S ADOLESCENT SUBSTANCE ABUSE AND PREVENTION PROGARM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "312-227-1520"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Jul 12, 2024; 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.