OrganizationActive
Lifesaver Intervention Center Inc
NPI 1003537390 · Methadone Clinic · Chicago, IL
Provider details
- NPI number
- 1003537390
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandy Hanson, Ceo(877) 989-9198
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7933 S Yates Blvd Ste 205
Chicago, IL 60617-1102
Phone: (877) 989-9198
Approximate (ZIP-level) locationGet directions
Mailing address
7933 S Yates Blvd Ste 205
Chicago, IL 60617-1102
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.