SUNDANCE METHADONE TREATMENT CENTER,LLC
NPI 1316296007
Clinic/Center - Methadone in Chicago, IL

Active since September 10, 2012
4545 N BROADWAY ST, 3RD FLOOR, CHICAGO, IL 60640(773) 784-1111(773) 784-4910 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Jun 18, 2020, Jul 11, 2017 and 3 more (6 updates tracked since 2016).

About Sundance Methadone Treatment Center,llc NPPES

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

SUNDANCE METHADONE TREATMENT CENTER,LLC (NPI 1316296007) is a healthcare organization registered as a methadone in Chicago, Illinois and active in the NPI registry since September 2012. The organization lists Tony P Woodard, Program Director, as its authorized official.

NPPES Registry Identity

NPI1316296007
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSUNDANCE METHADONE TREATMENT CENTER,LLC
Location Address4545 N BROADWAY ST, 3RD FLOORChicago, IL 60640-5975
Mailing Address4545 N Broadway St, 3rd FloorChicago, IL 60640-5975 · (773) 784-1111 · Fax (773) 784-4910
Fax(773) 784-4910
Organization SubpartNo
Authorized OfficialTony P WoodardProgram Director · (773) 769-4545
Enumeration DateSeptember 10, 2012
Last NPPES UpdateNovember 16, 20216 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1316296007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License A31350001 (IL)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License A31350001 (IL)
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License A31350001 (IL)
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License A31350001 (IL)
4545 N BROADWAY ST, Chicago, IL 60640

Accepted Insurance

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
777 services27 patients

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 Sundance Methadone Treatment Center,llc's NPI number?

The NPI number for Sundance Methadone Treatment Center,llc is 1316296007. It was assigned to this organization in the NPPES registry on September 10, 2012.

Where is Sundance Methadone Treatment Center,llc located?

Sundance Methadone Treatment Center,llc is located at 4545 N Broadway St 3rd Floor, Chicago, IL 60640. The listed phone number is (773) 784-1111.

What is Sundance Methadone Treatment Center,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

What insurance does Sundance Methadone Treatment Center,llc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sundance Methadone Treatment Center,llc 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 Sundance Methadone Treatment Center,llc was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.