OrganizationActive
Caritas
NPI 1376680512 · Methadone Clinic · Chicago, IL
Provider details
- NPI number
- 1376680512
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Parent organization
- Caritas
- Organization subpart
- Yes
- Authorized official
- Jesseca Watson, Credentialing Manager(630) 572-8228
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
140 North Ashland Avenue
Chicago, IL 60607
Phone: (312) 850-9411
Fax: (312) 850-3288
Approximate (ZIP-level) locationGet directions
Mailing address
1301 West 22nd Street
Oak Brook, IL 60523
Other names (DBA / former)
- Other name
- Caritas Central Intake
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.