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Proviso-Leyden Council for Community Action Inc — NPI 1386589034, Maywood, IL | NPI Central

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NPI 1386589034

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Proviso-Leyden Council for Community Action Inc

NPI 1386589034 · Methadone Clinic · Maywood, IL

Provider details

NPI number: 1386589034
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Authorized official: Claudette Harrell, Ceo

Practice location

308 S 5th Ave

Maywood, IL 60153-1650

Phone: (708) 343-1275

More IL providers

Mailing address

411 Madison St

Maywood, IL 60153-2136

Registry dates

Enumerated: 2026-04-21
Last updated: 2026-04-21

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