Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridging the Tys to Jordan Inc

Organization Case Management Agency · NPI 1083884019

Bridging the Tys to Jordan Inc is a Case Management Agency in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5500 S Indiana Ave Bsmt
Chicago, IL 60637-1011
Phone: (773) 425-8159
Fax: (773) 488-9462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X
Case Management Agency Taxonomy 251B00000X · Licence A-3249-0001 (IL)
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1083884019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyson Everett — Executive Director · (773) 425-8159
NPI enumeratedMarch 5, 2008
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address5500 S Indiana Ave Bsmt, Chicago, IL 60637-1011

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