NPI 1063890184
McDermott Center
Practice location
- Address
- 124 N Sangamon St 5th Floor, Chicago, IL 60607-2202
- Phone
- (312) 226-7984
- Fax
- (312) 226-8048
- Mailing address
- 932 W Washington Blvd, Chicago, IL 60607-2217
Authorised official
- Name
- Dan Lustig
- Title
- President & Ceo
- Phone
- (312) 226-7984
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1063890184
- Entity type
- Organization
- NPI issued
- 8 May 2015
- Record last updated
- 9 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.