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THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
NPI 1710049820
Clinic/Center - Rehabilitation, Substance Use Disorder in Hazel Crest, IL

Active since December 14, 2006
1909 174TH ST, HAZEL CREST, IL 60429(708) 647-3333 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Aug 12, 2016 (2 updates tracked since 2016).

About The South Suburban Council On Alcoholism And Substance Abuse NPPES

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

THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (NPI 1710049820) is a healthcare organization registered as a rehabilitation, substance use disorder in Hazel Crest, Illinois and active in the NPI registry since December 2006. The organization lists Myron Graham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710049820
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTHE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE
Location Address1909 174TH STHazel Crest, IL 60429
Mailing Address1909 174th StHazel Crest, IL 60429 · (708) 647-3333
Phone(708) 647-3333
Organization SubpartNo
Authorized OfficialMyron GrahamCeo · (708) 647-3305
Enumeration DateDecember 14, 2006
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
✔ NPI 1710049820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IL · A-0621-0003-A
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X · License A-0621-0003-A (IL)
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License A-0621-0004A (IL), A-0621-0002-A (IL), A-0621-0001-A (IL)
1909 174TH ST, Hazel Crest, IL 60429
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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 The South Suburban Council On Alcoholism And Substance Abuse's NPI number?

The NPI number for The South Suburban Council On Alcoholism And Substance Abuse is 1710049820. It was assigned to this organization in the NPPES registry on December 14, 2006.

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

The South Suburban Council On Alcoholism And Substance Abuse is located at 1909 174th St, Hazel Crest, IL 60429. The listed phone number is (708) 647-3333.

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

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

When was this NPI record last updated?

The NPPES record for The South Suburban Council On Alcoholism And Substance Abuse was last updated on November 18, 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.