Active NPI
Latino Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Elgin, IL
National Provider Identifier
1386813343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- LATINO TREATMENT CENTER
- Practice address
- 54 S Grove Ave
Elgin, IL 60120-6404 - Phone
- (847) 695-9155
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Adriana C Pujals, MA, CADC
- Title
- Assistent Director
- Phone
- (847) 695-9155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | A-0969-0001-A | IL | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
54 S Grove Ave
Elgin, IL 60120-6404
Mailing address
54 S Grove Ave
Elgin, IL 60120-6404
Phone (847) 695-9155
Other practice location 1
5413 N Lincoln Ave
Chicago, IL 60625-2222
Phone (773) 465-1161
Other practice location 2
245 W Roosevelt Rd
West Chicago, IL 60185-3739
Phone (630) 293-9707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-0969-0001-A | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ADRIANA.TRINO@LATINOTREATMENTCENTER.COM | ||
| Direct Messaging Address | ADRIANA.TRINO@LATINOTREATMENTCENTER.COM |
National Provider Directory
National Provider Directory- Tax ID family
- Latino Treatment Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1720653827
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West Chicago, IL
- NPI 1831868215
Locations
54 S Grove Ave
Elgin, IL 60120
Phone (847) 695-9155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1386813343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 S GROVE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601206404",
"telephone_number": "847-695-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 S GROVE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601206404",
"telephone_number": "847-695-9155"
}
],
"practiceLocations": [
{
"address_1": "5413 N Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606252222",
"country_code": "US",
"telephone_number": "773-465-1161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 W Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "West Chicago",
"state": "IL",
"postal_code": "601853739",
"country_code": "US",
"telephone_number": "630-293-9707",
"fax_number": "630-621-3223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LATINO TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "PUJALS",
"authorized_official_first_name": "ADRIANA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ASSISTENT DIRECTOR",
"authorized_official_telephone_number": "847-695-9155",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, CADC"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": "A-0969-0001-A",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0-0969-0001-A",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ADRIANA.TRINO@LATINOTREATMENTCENTER.COM",
"affiliation": "N",
"address_1": "54 S Grove Ave",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601206404",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ADRIANA.TRINO@LATINOTREATMENTCENTER.COM",
"affiliation": "N",
"address_1": "54 S Grove Ave",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601206404",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 4, 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.