NPI 1063989143

Northwest Recovery Center LLC

Organisation Substance Abuse Rehabilitation Facility Chicago, IL

Practice location

Address: 5352 N Lincoln Ave STE 250, Chicago, IL 60625-2316
Phone: (773) 353-5047

Authorised official

Name: Mohammad Khamis
Title: President/Ceo
Phone: (773) 353-5047

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Illinois →

Registry record

NPI: 1063989143
Entity type: Organization
NPI issued: 26 Oct 2018
Record last updated: 26 Oct 2018

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.