CHICAGO TREATMENT & COUNSELING CENTER #4
NPI 1679009880
Clinic/Center - Rehabilitation, Substance Use Disorder in Cicero, IL

Q: What is Chicago Treatment & Counseling Center #4's specialty?

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

Active since May 08, 2017

5635 W ROOSEVELT RD, CICERO, IL 60804(708) 652-6500(708) 652-6475 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Apr 6, 2020, Mar 19, 2020 and 1 more (4 updates tracked since 2017).

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About Chicago Treatment & Counseling Center #4 NPPES

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

CHICAGO TREATMENT & COUNSELING CENTER #4 (NPI 1679009880) is a healthcare organization registered as a rehabilitation, substance use disorder in Cicero, Illinois and active in the NPI registry since May 2017. The organization lists Hemlata Vaidya, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679009880

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCHICAGO TREATMENT & COUNSELING CENTER #4

Location Address5635 W ROOSEVELT RDCicero, IL 60804-1230

Mailing Address5635 W Roosevelt RdCicero, IL 60804-1230 · (708) 652-6500 · Fax (708) 652-6475

Phone(708) 652-6500

Fax(708) 652-6475

Organization SubpartNo

Authorized OfficialHemlata VaidyaMedical Director · (708) 652-6500

Enumeration DateMay 8, 2017

Last NPPES UpdateFebruary 25, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1679009880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 036069638 (IL)

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X

5635 W ROOSEVELT RD, Cicero, IL 60804

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Other Providers at the Same Location NPPES 6

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

JENNIFER MARIE FONTANA CADC, LMSW

Counselor (Addiction (Substance Use Disorder))