NPIMap

Organization Active NPI

Solleys House

Doing business as Solley's Place

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1790338150
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOLLEYS HOUSE
Doing business as
Solley's Place
Practice address
4163 S Archer Ave
Chicago, IL 60632-1870
Phone
(773) 475-6055
Fax
(773) 321-9735
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Patrick Lawrence Brett, CAADC
Title
Director
Phone
(708) 529-0188

Specialties & licenses 1

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

Addresses

Primary practice location

4163 S Archer Ave
Chicago, IL 60632-1870

Mailing address

4163 S Archer Ave
Chicago, IL 60632-1870
Phone (773) 475-6055

Other names 1

  • Solley's Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solley's Place3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4163 S Archer Ave
Chicago, IL 60632
Phone (773) 823-1759

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1790338150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321870",
            "telephone_number": "773-475-6055",
            "fax_number": "773-321-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321870",
            "telephone_number": "773-475-6055",
            "fax_number": "773-321-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLLEYS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "BRETT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-529-0188",
        "authorized_official_credential": "CAADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solley's Place",
            "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 Jul 24, 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.