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The South Suburban Council on Alcoholism and Substance Abuse

Substance Use Disorder Rehabilitation Clinic/Center in Hazel Crest, IL · enumerated 2006 · authorized official Myron Graham, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710049820

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Registry record

Entity type Organization (Type 2)
Legal business name The South Suburban Council on Alcoholism and Substance Abuse
Practice address 1909 174th St, Hazel Crest, IL, 60429
Enumeration date Dec 14, 2006
Last updated in NPPES Nov 18, 2021

Taxonomy & classification

261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities · License A-0621-0003-A (IL) Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License A-0621-0003-A (IL) Primary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License A-0621-0004A (IL) Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License A-0621-0002-A (IL) Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License A-0621-0001-A (IL) Secondary

Authorized official

Name Myron Graham
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is The South Suburban Council on Alcoholism and Substance Abuse?
The South Suburban Council on Alcoholism and Substance Abuse is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-18.