OrganizationActive
Roseate Dawn New Beginnings Incorporated
NPI 1386508471 · Methadone Clinic · Hometown, IL
Provider details
- NPI number
- 1386508471
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marvin Coklow, Compliance Officer(773) 597-7698
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
4126 West 87th Street
Hometown, IL 60456
Phone: (312) 498-7177
Fax: (773) 498-7177
Approximate (ZIP-level) locationGet directions
Mailing address
5030 N Marine Dr Apt 806
Chicago, IL 60640-3372
Registry dates
- Enumerated
- 2025-12-12
- Last updated
- 2025-12-12
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.