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HAZELDEN CHICAGO
NPI 1245397959
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since January 02, 2007CLIA 14D1069994 · Waiver
867 N DEARBORN ST, CHICAGO, IL 60610(800) 257-7800(312) 943-3530 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Mar 6, 2025, Oct 4, 2024 and 1 more (4 updates tracked since 2020).

About Hazelden Chicago NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELDEN CHICAGO (NPI 1245397959) is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Ashley Gibson, Vp Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1245397959
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameHAZELDEN CHICAGO
Location Address867 N DEARBORN STChicago, IL 60610-3310
Mailing Address867 N Dearborn StChicago, IL 60610-3310 · (800) 257-7810 · Fax (312) 943-3530
Phone(800) 257-7800
Fax(312) 943-3530
Organization SubpartNo
Authorized OfficialAshley GibsonVp Payer Relations · (651) 213-4519
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1245397959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IL · A-9403-0001-P
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
867 N DEARBORN ST, Chicago, IL 60610
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

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 14D1069994

Hazelden Chicago · Chicago, IL
Active · expires Jun 18, 2027
CLIA Number14D1069994
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorLauren Fish
Laboratory Phone(312) 631-7947
Laboratory LocationHazelden Chicago867 N Dearborn St, Chicago, IL 60610
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN DAVID PETERS MA, LPCC, LADC
Counselor (Mental Health)
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (800) 257-7800
LILLIANN ROGERS
Counselor (Professional)
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (312) 631-7940
ANTHONY JOSEPH SUNZERI BA CADC
Counselor (Addiction (Substance Use Disorder))
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (651) 213-4286
RICHARD M GOLDIN
Social Worker
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (651) 213-4286
NATASA PERIC LMSW MSSW
Social Worker
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (312) 943-3534
MICHAEL GIAMMANCO MA CADC
Counselor (Addiction (Substance Use Disorder))
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (651) 213-4286
TIFFANY LOUISE TURKOWSKI MSW LSW
Social Worker (Clinical)
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (312) 943-3534
ANNA PURTELL LCSW
Counselor
867 N DEARBORN ST
CHICAGO, IL 60610
Cook County (312) 631-7980

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 Hazelden Chicago's NPI number?

The NPI number for Hazelden Chicago is 1245397959. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Hazelden Chicago located?

Hazelden Chicago is located at 867 N Dearborn St, Chicago, IL 60610. The listed phone number is (800) 257-7800.

What is Hazelden Chicago's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Hazelden Chicago hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1069994) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hazelden Chicago accept?

Health plans from Quartz list Hazelden Chicago as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hazelden Chicago was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.