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NPI 1023434917 · Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1023434917
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ernestina Ontiveros, President/Ceo(773) 522-5460
- License
- A-8712-0001-A (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3948 W 26th St
Suite 114
Chicago, IL 60623-3738
Phone: (773) 522-5460
Fax: (773) 522-5465
Street-level locationGet directions
Mailing address
3948 W 26th St
Chicago, IL 60623-3738
Registry dates
- Enumerated
- 2014-03-15
- Last updated
- 2014-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.