1356578140 NPI number — ACDI GLENVIEW,LLC.

Table of content: (NPI 1356578140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356578140 NPI number — ACDI GLENVIEW,LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACDI GLENVIEW,LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356578140
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2501 COMPASS RD
Provider Second Line Business Mailing Address:
130
Provider Business Mailing Address City Name:
GLENVIEW
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60026-8000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-730-3726
Provider Business Mailing Address Fax Number:
847-730-3734

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 SPRING RD
Provider Second Line Business Practice Location Address:
600
Provider Business Practice Location Address City Name:
OAK BROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60523-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-571-2500
Provider Business Practice Location Address Fax Number:
630-571-7100
Provider Enumeration Date:
06/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VITKOVA
Authorized Official First Name:
ZUZANA
Authorized Official Middle Name:
Authorized Official Title or Position:
FANACIAL OFFICER
Authorized Official Telephone Number:
630-571-2500

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  019-020580 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223G0001X , with the licence number: 019-013583 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , with the licence number: 019-027311 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)