FOOTPRINTS RECOVERY IL LLC
NPI 1104582154
Clinic/Center - Rehabilitation, Substance Use Disorder in Elgin, IL
About Footprints Recovery Il Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOTPRINTS RECOVERY IL LLC (NPI 1104582154) is a healthcare organization registered as a rehabilitation, substance use disorder in Elgin, Illinois and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Bruce Worthington, Director, Revenue Cycle Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2181447
Footprints Recovery Il LLC · Elgin, ILOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELGIN, IL 60123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Footprints Recovery Il LLC's NPI number?
The NPI number for Footprints Recovery Il LLC is 1104582154. It was assigned to this organization in the NPPES registry on November 15, 2021.
Where is Footprints Recovery Il LLC located?
Footprints Recovery Il LLC is located at 411 W River Rd, Elgin, IL 60123. The listed phone number is (224) 347-4025.
What is Footprints Recovery Il LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Footprints Recovery Il LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2181447) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Footprints Recovery Il LLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Footprints Recovery Il Llc · NPI 1104582154
Rehabilitation, Substance Use Disorder organization in Elgin, Illinois. Organization record, active in the CMS NPPES registry since November 15, 2021.
## Identity
- **NPI:** 1104582154 (Entity type: Organization)
- **Enumerated:** November 15, 2021
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Bruce Worthington, DIRECTOR, REVENUE CYCLE MANAGEMENT
## Practice location
- **Address:** 411 W RIVER RD, Elgin, IL 60123-1570
- **Phone:** (224) 347-4025
## Record status
- **NPPES last updated:** March 23, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104582154) · Data from the CMS NPPES public registry.