NPIMap

Organization Active NPI

Axial Frost Clinic Il PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1396673703
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AXIAL FROST CLINIC IL PC
Practice address
25 E Washington St Ste 1615
Chicago, IL 60602-1882
Phone
(312) 967-9678
NPI assigned
May 13, 2026
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Alice P Heywood
Title
Secretary
Phone
(615) 231-8560

Specialties & licenses 1

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

Addresses

Primary practice location

25 E Washington St Ste 1615
Chicago, IL 60602-1882

Mailing address

209 10TH Ave S Ste 350
Nashville, TN 37203-4166
Phone (615) 345-3555

National Provider Directory

National Provider Directory
Tax ID family
Axial Frost Clinic Il PC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1396673703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034166",
            "telephone_number": "615-345-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1615",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021882",
            "telephone_number": "312-967-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIAL FROST CLINIC IL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-231-8560"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "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 May 13, 2026; 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.