WAY BACK INN
NPI 1902283344
Substance Abuse Rehabilitation Facility in Maywood, IL
- Organization
- Substance Abuse Rehabilitation Facility
About WAY BACK INN
This page provides the complete NPI Profile along with additional information for Way Back Inn, a provider established in Maywood, Illinois operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1902283344 assigned on May 2015. The practitioner's primary taxonomy code is 324500000X with license number A-0388-0001-A (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Anita Pindiur Ms, Lcpc, Cadc, Pcgc (Executive Director)
- NPI
- 1902283344 Verify this NPI
- Provider Name
- WAY BACK INN
- Entity Type
- Organization
- Location Address
- 201 S 2ND AVE MAYWOOD, IL 60153
- Location Phone
- (708) 344-3301
- Location Fax
- (708) 344-2944
- Mailing Address
- 104 OAK ST MAYWOOD, IL 60153
- Mailing Phone
- (708) 345-8422
- Mailing Fax
- (708) 344-2944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2015
- Last Update Date
- 09-26-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- A-0388-0001-A
- License State
- IL
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902283344, enumerated as an "organization" on May 06, 2015.
The provider is located at 201 S 2ND AVE MAYWOOD, IL 60153 and the phone number is (708) 344-3301.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
