Roseate Dawn New Beginnings Incorporated

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ROSEATE DAWN NEW BEGINNINGS INCORPORATED

Practice address

4126 West 87TH Street
Hometown, IL 60456

Phone

(312) 498-7177

Fax

(773) 498-7177

NPI assigned

Dec 12, 2025

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin D CoklowNPI 1710612478

Title

Compliance Officer

Phone

(773) 597-7698

Specialties & licenses 2

Addresses

Tax ID family

Roseate Dawn New Beginnings Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Roseate Dawn New Beginnings Incorporated

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1649135609
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin Coklow

  • Point of Service
  • Chicago, IL
  • NPI 1710612478
  Authorized official Same address or phone

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1386508471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 N MARINE DR APT 806",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403372",
            "telephone_number": "773-597-7698",
            "fax_number": "773-597-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 WEST 87TH STREET",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "60456",
            "telephone_number": "312-498-7177",
            "fax_number": "773-498-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEATE DAWN NEW BEGINNINGS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "COKLOW",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "773-597-7698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Orr
• Amiel George Pappas, DDS
• Binitabahen A Patel
• David Michael Podrebarac, M.D.
• Shauna Delacey Porter
• Carrie Salvia, D.O.
• Christopher Swartz, D.O.
• Catherine V Taylor
• Vilchis Collaborative Behavioral Consulting LLC
• Walgreen Co (Walgreens #06629)

• Methadone Clinic in Hometown, IL
• Providers in Hometown, IL by specialty
• Methadone Clinic in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.