NPIMap

Organization Active NPI

McDermott Center

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
National Provider Identifier
1679951875
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A-0349-0053-A Issued in IL
Legal business name
MCDERMOTT CENTER
Practice address
22 N Sangamon St
Chicago, IL 60607-2640
Phone
(312) 226-7984
Fax
(312) 226-8048
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Dr. Dan Lustig
Title
President & Ceo
Phone
(312) 226-7984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X A-0349-0053-A IL Primary

Addresses

Primary practice location

22 N Sangamon St
Chicago, IL 60607-2640

Mailing address

932 W Washington Blvd
Chicago, IL 60607-2217
Phone (312) 226-7984

Other names 1

  • Haymarket Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haymarket House26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

22 N Sangamon St
Chicago, IL 60607
Phone (312) 226-7984

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1679951875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072217",
            "telephone_number": "312-226-7984",
            "fax_number": "312-226-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072640",
            "telephone_number": "312-226-7984",
            "fax_number": "312-226-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDERMOTT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "312-226-7984",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0349-0053-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haymarket Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haymarket Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 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.