Bonaventure House

LBN: Alexian Brothers
Bonaventure House is an health care organization with primary practice located at 825 W Wellington Ave , Chicago IL 60657-5123. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Alexian Brothers can be contacted via phone (773) 327-9921, or through Winters, Bart via phone (773) 327-9921.

Contact Information

Primary practice address
825 W Wellington Ave Chicago IL 60657-5123
Phone: (773) 327-9921
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winters, Bart
Phone: (773) 327-9921

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0977-0001-A Illinois

Profile Details

NPI number 1891900726
LBN Legal business name Alexian Brothers
DBA Doing business as Bonaventure House
Authorized official Winters, Bart
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891900726 NPPES
Illinois Other A09770001A IDHS DASA LICENSE
Illinois Other 3000101 IDHS DASA LICENSE

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