Buena Vista Group, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

BUENA VISTA GROUP, LLC

Practice address

418 Dixie Hwy
Chicago Heights, IL 60411-1739

Phone

(708) 481-4200

Fax

(708) 481-3302

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. William Evans, MD

Title

MD/Owner

Phone

(708) 481-4200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1750883286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N LAKE SHORE DR APT 8A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134201",
            "telephone_number": "708-481-4200",
            "fax_number": "708-481-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111739",
            "telephone_number": "708-481-4200",
            "fax_number": "708-481-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "708-481-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Brenda Brown, D.D.S.
• Nikita Brown
• Wendell Brown
• Brownstone Services
• Sharona Bryant, M.D.
• Jennifer Byrd, MD
• Tonya Ann Caldwell
• Nicole Campbell
• Chantel Cannon
• Michiah Cannon

• All providers in Chicago Heights, IL
• Methadone Clinic in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.