NPIMap

Organization Active NPI

Lester & Rosalie Anixter Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1831678192
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-0998-0013-A Issued in ID
Legal business name
LESTER & ROSALIE ANIXTER CENTER
Practice address
4920 N Kenmore Ave
Chicago, IL 60640-3710
Phone
(773) 761-1501
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Mary Desmond
Title
Director of Finance
Phone
(773) 761-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0998-0013-A ID Primary

Addresses

Primary practice location

4920 N Kenmore Ave
Chicago, IL 60640-3710

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
A-0998-0013-AMedicaidIL

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": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1831678192",
    "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": "4920 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403710",
            "telephone_number": "773-761-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER & ROSALIE ANIXTER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "773-761-1501"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ID",
            "license": "A-0998-0013-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0998-0013-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 8, 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.