Organization Active NPI

Latino Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elgin, IL
National Provider Identifier
1386813343
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0-0969-0001-AMedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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 Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.