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Loren "half" Robinson Foundation

Clinic/Center, Methadone Clinic in Chicago, IL. Organization (NPI-2).

NPI number1699296129
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1699296129
Entity type
Organization (NPI-2)
Legal business name
Loren "half" Robinson Foundation
Organization subpart
No
Enumeration date
Jul 6, 2017
Certification date
Dec 4, 2020
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2800X Clinic/Center, Methadone Clinic––Yes
261QM2800X Clinic/Center, Methadone ClinicA85450001AIL
261QR0405X Clinic/Center, Rehabilitation, Substance Use DisorderA85450001AIL
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Other names

  • Loren "half" Robinson Foundation (Other Name)

Practice location

4100 W Ogden Ave
Chicago, IL 60623-2821

Phone 773-521-1601

Mailing address

4100 W Ogden Ave
Chicago, IL 60623-2821

Phone 773-521-1601

Authorized official

Patricia J Searcy
Ceo/Director Of Board Of Directors
7735211601

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Methadone Clinic providers in Chicago, IL

All 23 Methadone Clinic providers in Chicago · All 81,422 providers in Chicago

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