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Contact Information

WAY BACK INN
104 OAK ST.
MAYWOOD, IL60153
 Phone: 708-344-3301
 Fax: 708-344-2944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for WAY BACK INN

NPI Number 1093060741
LBN Legal business name WAY BACK INN
Authorized official ANITA PINDIUR - (INTERIM EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/18/2012
Last updated 08/23/2022 - About 4 years ago
Identifiers
IL License # 180.007242
IL License # 180.007316
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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