National Provider Identifier Database

ELEGANCE RECOVERY HOUSE
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

ELEGANCE RECOVERY HOUSE
900 S CLARK ST
CHICAGO, IL60605-3679
Phone: 312-324-4991
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X

* Indicates primary specialty

NPI Profile & details for ELEGANCE RECOVERY HOUSE

NPI Number 1639041429
Legal business name
LBN
ELEGANCE RECOVERY HOUSE
Authorized official DYRA HOLT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/22/2025
Last updated 09/29/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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