institution
Nicasa, Nfp
Substance Use Disorder Rehabilitation Clinic/Center in Buffalo Grove, Illinois
NPI 1225588759

Nicasa, Nfp is a Substance Use Disorder Rehabilitation Clinic/Center based in Round Lake, IL and is specialized in Rehabilitation, Substance Use Disorder. Nicasa, Nfp practices in Buffalo Grove, IL. The NPI Number for Nicasa, Nfp is 1225588759 and holds a License No. A-0614-0003 (Illinois).

The current practice location address for Nicasa, Nfp is 2900 N Main St, Buffalo Grove, IL and can be reached out via phone at 847-634-6422 and via fax at 847-364-6775. You can also correspond with Nicasa, Nfp through the mailing address at 31979 N FISH LAKE RD, ROUND LAKE, IL - 60073-9517 (mailing address contact number: 847-546-6450).

Location: 2900 N Main St, Buffalo Grove, IL, 60073-9517
institution
Provider Profile Details
NPI Number
1225588759
Provider Name
Nicasa, Nfp
Credential
Provider Entity Type
Organization
Address
2900 N Main St, Buffalo Grove, IL, 60073-9517
Phone Number
847-634-6422
Fax Number
847-364-6775
Provider Enumeration Date
10/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A-0614-0003 05 IL
institution
Provider Business Practice Location Address Details
Address
2900 N Main St
City
State
Zip
60089-2717
Phone Number
847-634-6422
Fax Number
847-364-6775
person
Provider Business Mailing Address Details
Address
2900 N Main St
City
State
Zip
60089-2717
Phone Number
847-634-6422
Fax Number
847-364-6775
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
A-0614-0003 (Illinois)
Definition
Definition to come...
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