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Contact Information

RESTORING LIVES OVERCOMING ADDICTIONS
11187 DUNDEE RD STE 101
HUNTLEY, IL60142-9246
 Phone: 312-675-4205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
 

Rehabilitation, Substance Use Disorder

261QR0405X
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for RESTORING LIVES OVERCOMING ADDICTIONS

NPI # 1770061822
LBN Legal business name RESTORING LIVES OVERCOMING ADDICTIONS
Authorized official TIMOTHY COHAGEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2018
Last updated 07/31/2018 - About 8 years ago
Identifiers n/a
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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