1457573099 NICASA
Substance Use Disorder Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- NICASA
- Enumeration Date
- May 3, 2007
- Last Update
- April 6, 2021
- Authorized Official
- MR. BRUCE JOHNSON
COO
Phone: (847) 546-6450
Practice Location
- Address
- 31979 N FISH LKAE RD
ROUND LAKE, IL 60073 - Phone
- (847) 546-6450
- Fax
- (847) 546-6760
Mailing Address
- Address
- 31979 N FISH LKAE RD
ROUND LAKE, IL 60073 - Phone
- (847) 546-6450
- Fax
- (847) 546-6760
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | CA06140005A | IL | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA06140002A | 05 | IL | N/A |
| CA06140005A | 05 | IL | N/A |
| A06140005A | 01 | IL | STATE OF ILLINOIS |
| A06140004A | 01 | IL | STATE OF ILLINOIS |
| CA06140001A | 05 | IL | N/A |
| A06140003A | 01 | IL | STATE OF ILLINOIS |
| A06140001A | 01 | IL | STATE OF ILLINOIS |
| A06140002A | 01 | IL | STATE OF ILLINOIS |
Frequently Asked Questions
What is NICASA's NPI number?
NICASA's NPI number is 1457573099.
Which doctor has NPI number 1457573099?
The doctor with NPI number 1457573099 is NICASA.
What is NICASA's practice address?
NICASA's practice address is 31979 N FISH LKAE RD, ROUND LAKE, IL, 60073.
Which doctor practices at 31979 N FISH LKAE RD, ROUND LAKE, IL, 60073?
NICASA practices at 31979 N FISH LKAE RD, ROUND LAKE, IL, 60073.
What is NICASA's phone number?
NICASA's phone number is (847) 546-6450.
Who is (847) 546-6450?
(847) 546-6450 is the phone number for NICASA.
What is NICASA's specialty?
NICASA's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is NICASA?
NICASA is a Substance Use Disorder Rehabilitation Clinic/Center.
Is NICASA a Rehabilitation, Substance Use Disorder?
Yes, NICASA is a Rehabilitation, Substance Use Disorder.
Is NICASA still practicing?
Yes, NICASA is currently practicing.
Is NICASA accepting new patients?
NICASA may be accepting new patients. Please call their office at (847) 546-6450 to inquire about availability.
Is NPI 1457573099 still active?
Yes, NPI 1457573099 is currently active.
Where does NICASA practice?
NICASA practices in ROUND LAKE, IL.