No Looking Back NFP

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

NO LOOKING BACK NFP

Practice address

11440 S Indiana Ave
Chicago, IL 60628-4954

Phone

(773) 632-9711

NPI assigned

May 23, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jesseca Watson

Title

Credentialing Manager

Phone

(331) 442-1127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1881269876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284954",
            "telephone_number": "773-632-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284954",
            "telephone_number": "773-632-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO LOOKING BACK NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JESSECA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "331-442-1127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recovery Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Recovery Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.