Haymarket Center

LBN: Mc Dermott Center
Haymarket Center is an health care organization with primary practice located at 108 N Sangamon St Fl 3 , Chicago IL 60607-2202. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Mc Dermott Center can be contacted via phone (312) 226-7984, or through Lustig, Dan via phone (312) 226-7984.

Contact Information

Primary practice address
108 N Sangamon St Fl 3 Chicago IL 60607-2202
Phone: (312) 226-7984
Fax: (312) 226-8048
Website:
Map and Directions
Authorized official contact:
Name: Lustig, Dan PSY. D
Phone: (312) 226-7984

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 17001 Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1376080572
LBN Legal business name Mc Dermott Center
DBA Doing business as Haymarket Center
Authorized official Lustig, Dan PSY. D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2017
Last updated Apr 9th, 2022 - about 2 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 1376080572 NPPES
Illinois MEDICAID 0349-0056

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