Organization Active NPI

Salaam Recovery Services PLLC

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1508568122
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALAAM RECOVERY SERVICES PLLC
Practice address
2001 Butterfield Rd Ste 320
Downers Grove, IL 60515-5466
Phone
(800) 471-5230
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Mrs. Mubeena Siddiqui
Title
Coo
Phone
(630) 589-2730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2001 Butterfield Rd Ste 320
Downers Grove, IL 60515-5466

Mailing address

472 Broadmoor LN
Bartlett, IL 60103-4302

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1508568122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 BROADMOOR LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 320",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155466",
            "telephone_number": "800-471-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAAM RECOVERY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MUBEENA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-589-2730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.