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SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
NPI 1558362863
Substance Abuse Rehabilitation Facility in East Hazel Crest, IL

Active since August 09, 2005CLIA 14D1062402 · Waiver
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429(708) 647-3333(708) 957-2614 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Suburban Council On Alcoholism And Substance Abuse NPPES

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

SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (NPI 1558362863) is a healthcare organization registered as a substance abuse rehabilitation facility in East Hazel Crest, Illinois and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Allen Joseph Sandusky, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1558362863
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
Location Address1909 CHEKER SQEast Hazel Crest, IL 60429-1442
Mailing Address1909 Cheker SqEast Hazel Crest, IL 60429-1442 · (708) 647-3333 · Fax (708) 957-2614
Phone(708) 647-3333
Fax(708) 957-2614
Organization SubpartNo
Authorized OfficialAllen Joseph SanduskyPresident & Chief Executive Officer · (708) 647-3300
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1558362863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in IL · A-0621-0001-A
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1909 CHEKER SQ, East Hazel Crest, IL 60429
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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 14D1062402

South Suburban Council On Alcoholism & Substance · East Hazel Crest, IL
Active · expires Dec 12, 2026
CLIA Number14D1062402
Laboratory TypeOther
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorJennifer Byrd
Laboratory Phone(708) 647-3333
Laboratory LocationSouth Suburban Council On Alcoholism & Substance1909 Cheker Square, East Hazel Crest, IL 60429
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. DANA MARIE AIKENS CSADC, MISAI, ATE
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3371
JASMINE CARTER
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3333
TIMOTHY BROWN BA, CADC
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3333
MARIAH MURPHY
Counselor
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (866) 477-8632
BARBARA JULIAN
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3331
CRYSTAL BERYMON
Case Manager/Care Coordinator
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 444-1012
VICTORIA MORADEYO ADELEKE
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3333
LIZ FRAUSTO B.A.
Counselor (Addiction (Substance Use Disorder))
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429
Cook County (708) 647-3343

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 South Suburban Council On Alcoholism And Substance Abuse's NPI number?

The NPI number for South Suburban Council On Alcoholism And Substance Abuse is 1558362863. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is South Suburban Council On Alcoholism And Substance Abuse located?

South Suburban Council On Alcoholism And Substance Abuse is located at 1909 Cheker Sq, East Hazel Crest, IL 60429. The listed phone number is (708) 647-3333.

What is South Suburban Council On Alcoholism And Substance Abuse's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does South Suburban Council On Alcoholism And Substance Abuse hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1062402) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Suburban Council On Alcoholism And Substance Abuse was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.