Pathos Chicago LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PATHOS CHICAGO LLC

Practice address

430 W Erie St Ste 205
Chicago, IL 60654-7692

Phone

(312) 792-3610

NPI assigned

Feb 13, 2019

Organization subpart

Yes

Parent organization

THE LOVETT CENTER LLCAs reported in NPPES

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

Authorized official

Name

Robert Hilliker

Title

Founder

Phone

(713) 470-9878

Specialties & licenses 4

Addresses

Other names 1

• Pathos Chicago Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor M Johnson, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1841789930
  NPD

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1447716568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W ERIE ST STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547692",
            "telephone_number": "312-584-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W ERIE ST STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547692",
            "telephone_number": "312-792-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOS CHICAGO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LOVETT CENTER LLC",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "HILLIKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "713-470-9878"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathos Chicago",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathos Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.