Alexian Brothers

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

A-0977-0001-A Issued in IL

Legal business name

ALEXIAN BROTHERS

Practice address

825 W Wellington Ave
Chicago, IL 60657-5123

Phone

(773) 327-9921

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bart Winters

Title

Ceo

Phone

(773) 327-9921

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bonaventure House Other name

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891900726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575123",
            "telephone_number": "773-327-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575123",
            "telephone_number": "773-327-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-327-9921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0977-0001-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDHS DASA LICENSE",
            "identifier": "A09770001A",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE",
            "identifier": "3000101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonaventure House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gina Alexandres
• Alexandria Champagne, LCSW, PLLC
• Alexandria Hall PLLC
• Sandra Alexandria, DC
• Sasha Alexanian, DMD
• Peter Alexieff, MD
• Julia Alexieva, DO
• Alexis B Youn Dental LTD
• Alexis Healthcare
• Alexis Lybrook Taubert, PH.D, LTD.

• All providers in Chicago, IL
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.