NPIMap

Organization Active NPI

Lester & Rosalie Anixter Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1730653247
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LESTER & ROSALIE ANIXTER CENTER
Doing business as
Anixter Center at Bria
Practice address
8001 S Western Ave
Chicago, IL 60620-5930
Phone
(773) 761-1501
Fax
(773) 274-3523
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Heidi Olkowski
Title
Claims Specialist
Phone
(773) 761-1501

Specialties & licenses 1

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

Addresses

Primary practice location

8001 S Western Ave
Chicago, IL 60620-5930

Mailing address

6610 N Clark St
Chicago, IL 60626-4062
Phone (773) 761-1501

Other identifiers 1

IdentifierTypeStateIssuer
A-0098-0014-AMedicaidIL

Other names 1

  • Anixter Center at Bria Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lester and Rosalie Anixter Center26 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

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1730653247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264062",
            "telephone_number": "773-761-1501",
            "fax_number": "773-274-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205930",
            "telephone_number": "773-761-1501",
            "fax_number": "773-274-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER & ROSALIE ANIXTER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "OLKOWSKI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CLAIMS SPECIALIST",
        "authorized_official_telephone_number": "773-761-1501"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0098-0014-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anixter Center at Bria",
            "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 Jan 17, 2019; 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.