OrganizationActive
Chicago Treatment & Counseling Center #4
NPI 1679009880 · Substance Use Disorder Rehabilitation Clinic/Center · Cicero, IL
Provider details
- NPI number
- 1679009880
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hemlata Vaidya, Medical Director(708) 652-6500
- License
- 036069638 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Hospital Units
Practice location
5635 W Roosevelt Rd
Cicero, IL 60804-1230
Phone: (708) 652-6500
Fax: (708) 652-6475
Approximate (ZIP-level) locationGet directions
Mailing address
5635 W Roosevelt Rd
Cicero, IL 60804-1230
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.