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PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
NPI 1386589034
Clinic/Center - Methadone in Maywood, IL

Active since April 21, 2026
308 S 5TH AVE, MAYWOOD, IL 60153(708) 343-1275 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proviso-leyden Council For Community Action Inc NPPES

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

PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC (NPI 1386589034) is a healthcare organization registered as a methadone in Maywood, Illinois and active in the NPI registry since April 2026. The organization lists Claudette Harrell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386589034
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
Location Address308 S 5TH AVEMaywood, IL 60153-1650
Mailing Address411 Madison StMaywood, IL 60153-2136 · (708) 450-3500
Phone(708) 343-1275
Organization SubpartNo
Authorized OfficialClaudette HarrellCeo · (708) 450-3500
Enumeration DateApril 21, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1386589034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
308 S 5TH AVE, Maywood, IL 60153
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

LISSETTE M TORRES
Licensed Practical Nurse
308 S 5TH AVE
MAYWOOD, IL 60153
Cook County (708) 343-1275
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
308 S 5TH AVE
MAYWOOD, IL 60153
Cook County (708) 343-1275

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 Proviso-Leyden Council For Community Action Inc's NPI number?

The NPI number for Proviso-Leyden Council For Community Action Inc is 1386589034. It was assigned to this organization in the NPPES registry on April 21, 2026.

Where is Proviso-Leyden Council For Community Action Inc located?

Proviso-Leyden Council For Community Action Inc is located at 308 S 5th Ave, Maywood, IL 60153. The listed phone number is (708) 343-1275.

What is Proviso-Leyden Council For Community Action Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Proviso-Leyden Council For Community Action Inc was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.