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

Sundance Methadone Treatment Center, LLC

Organization Methadone Clinic · NPI 1316296007

Sundance Methadone Treatment Center, LLC is a Methadone Clinic in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4545 N Broadway St 3rd Fl
Chicago, IL 60640-5975
Phone: (773) 784-1111
Fax: (773) 784-4910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Rehabilitation Clinic/Center Taxonomy 261QR0400X · Licence A31350001 (IL)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence A31350001 (IL)
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X · Licence A31350001 (IL)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence A31350001 (IL)

Record details

NPI number1316296007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Woodard — Program Director · (773) 769-4545
NPI enumeratedSeptember 10, 2012
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address4545 N Broadway St, 3rd Floor, Chicago, IL 60640-5975

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