NICASA NFP NPI 1962952499

NPI Information

NPI: 1962952499
Provider Name: NICASA, NFP
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1724 1ST ST
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 433-1303
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NICASA, NFP is a rehabilitation and substance use disorder clinic center in Highland Park, IL. NICASA, NFP NPI is 1962952499. The provider is registered as an organization entity type.

The provider's business location address is:

1724 1ST ST
HIGHLAND PARK, IL
ZIP 60035-202
Phone: (847) 433-1303
Fax: (847) 433-2324

The provider's authorized official is Linda Snelten .
The authorized official title is Chief Operation Officer and has the following contact phone number (847) 546-6450.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 4/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-0614-0006	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A-0614-0006	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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