Provider Demographics
NPI:1346463536
Name:SCHAUMBURG INTERVENTIONS & COUNSELING CENTER
Entity Type:Organization
Organization Name:SCHAUMBURG INTERVENTIONS & COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELASCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-882-8908
Mailing Address - Street 1:1340 REMINGTON RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4830
Mailing Address - Country:US
Mailing Address - Phone:847-882-8908
Mailing Address - Fax:847-882-8996
Practice Address - Street 1:1340 REMINGTON RD
Practice Address - Street 2:SUITE K
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4830
Practice Address - Country:US
Practice Address - Phone:847-882-8908
Practice Address - Fax:847-882-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone