<Unavail>

LBN: Mcdermott Center
<Unavail> is an health care organization with primary practice located at 120 N Sangamon St 4Th Floor, Chicago IL 60607-2202. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Mcdermott Center can be contacted via phone (312) 226-7984, or through Lustig, Dan via phone (312) 226-8048.

Contact Information

Primary practice address
120 N Sangamon St 4Th Floor Chicago IL 60607-2202
Phone: (312) 226-7984
Fax: (312) 226-8048
Website:
Map and Directions
Authorized official contact:
Name: Lustig, Dan
Phone: (312) 226-8048

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1265807390
LBN Legal business name Mcdermott Center
DBA Doing business as <Unavail>
Authorized official Lustig, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2015
Last updated Apr 9th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265807390 NPPES
Illinois Other A-0349-0011-A DHS DASA CETRIFICATE

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