OrganizationActive
Maryville Academy
NPI 1003341058 · Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1003341058
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Frederick Smith, Administrator of Community Services(847) 390-3004
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1658 W Grand Ave
Chicago, IL 60622-6309
Phone: (312) 491-3530
Street-level locationGet directions
Mailing address
1658 W Grand Ave
Chicago, IL 60622-6309
Other names (DBA / former)
- Doing business as
- Family Behavioral Health Clinic
- Doing business as
- Family Behavioral Health Clinic
Registry dates
- Enumerated
- 2017-04-27
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.