Provider Demographics
NPI:1811035546
Name:NUWAY COMMUNITY SERVICES, INC
Entity Type:Organization
Organization Name:NUWAY COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLAJIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, CADC, CQM
Authorized Official - Phone:773-723-2790
Mailing Address - Street 1:659 E 75TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-2242
Mailing Address - Country:US
Mailing Address - Phone:773-723-2790
Mailing Address - Fax:773-723-2986
Practice Address - Street 1:659 E 75TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-2242
Practice Address - Country:US
Practice Address - Phone:773-723-2790
Practice Address - Fax:773-723-2986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL72370002A261QM2800X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone