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Proviso-Leyden Council for Community Action Inc — NPI 1134553076, Maywood, IL | NPI Central

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NPI 1134553076

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Proviso-Leyden Council for Community Action Inc

NPI 1134553076 · Methadone Clinic · Maywood, IL

Provider details

NPI number: 1134553076
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Authorized official: Beverly Smith, Coo

Practice location

411 Madison St

Maywood, IL 60153-2136

Phone: (708) 236-5042

More IL providers

Mailing address

411 Madison St

Maywood, IL 60153-2136

Registry dates

Enumerated: 2013-08-28
Last updated: 2026-04-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.