Icc Treatment Center
Icc Treatment Center is a Methadone Clinic in Chicago, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1 E 111th StChicago, IL 60628-9998
Phone: (773) 552-2769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X |
|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | Taxonomy 276400000X |
Record details
| NPI number | 1164388484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marvin Coklow — Compliance Officer · (773) 597-7698 |
| NPI enumerated | December 30, 2025 |
| Last updated in NPPES | April 3, 2026 |
| Certification date | April 3, 2026 |
| Mailing address | 1 E 111th Street, Chicago, IL 60628-9998 |
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