HAYMARKET CENTER – NPI #1356729479
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

HAYMARKET CENTER is a substance abuse rehabilitation facility located in CHICAGO, IL. NPPES has assigned the NPI number 1356729479 to HAYMARKET CENTER on May 08, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HAYMARKET CENTER” is a dba name, the actual legal business name for this organization is MCDERMOTT CENTER. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Apr 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAYMARKET CENTER below.

NPI Profile for
MCDERMOTT CENTER

NPI Number
1356729479
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCDERMOTT CENTER
Doing Business As (dba): HAYMARKET CENTER
Primary location
124 N SANGAMON ST
6TH FLOOR
CHICAGO, IL 60607-2202
Phone: (312) 226-7984 Fax: (312) 226-8048
Mailing address
932 W WASHINGTON BLVD
CHICAGO, IL 60607-2217
Phone: (312) 226-7984 Fax:
Organization Subpart
No
Authorized Official
DAN LUSTIG
PRESIDENT & CEO
Phone: (312) 226-7984
Updated
Certification Date
Apr 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HAYMARKET CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL0349-0049
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
IL A-0349-0049-A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.