NPIMap

Organization Active NPI

Cornell Interventions, Inc.

  • Substance Abuse Rehabilitation Facility
  • Woodridge, IL
National Provider Identifier
1619334646
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A89810010A Issued in IL
Legal business name
CORNELL INTERVENTIONS, INC.
Practice address
2221 64TH St
2ND Floor - Men'S Unit
Woodridge, IL 60517-2180
Phone
(630) 968-6477
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Mr. Jonathan Swatsburg
Title
Divisional Vice President
Phone
(412) 201-4111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-8981-0010-A IL
Substance Abuse Rehabilitation Facility 324500000X A89810010A IL Primary

Addresses

Primary practice location

2221 64TH St
2ND Floor - Men'S Unit
Woodridge, IL 60517-2180

Mailing address

2221 64TH St
Woodridge, IL 60517-2180
Phone (630) 968-6477

National Provider Directory

National Provider Directory
Tax ID family
Cornell Companies14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2221 64th St
Woodridge, IL 60517
Phone (630) 968-6477

2221 64th St
Fl 2
Woodridge, IL 60517
Phone (630) 968-6477

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1619334646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 64TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172180",
            "telephone_number": "630-968-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 64TH ST",
            "address_2": "2ND FLOOR - MEN'S UNIT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172180",
            "telephone_number": "630-968-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL INTERVENTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "SWATSBURG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIVISIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "412-201-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-8981-0010-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A89810010A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.