Dui Depot, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DUI DEPOT, LLC

Doing business as

The Depot

Practice address

25 N River LN # 114
Geneva, IL 60134-2263

Phone

(224) 499-3699

Fax

(888) 740-7373

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Eddington, MA, CADC

Title

President and Ceo

Phone

(773) 707-1990

Specialties & licenses 1

Addresses

Other names 1

• The Depot Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1306417944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N RIVER LN # 114",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342263",
            "telephone_number": "224-499-3699",
            "fax_number": "888-740-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N RIVER LN # 114",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342263",
            "telephone_number": "224-499-3699",
            "fax_number": "888-740-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUI DEPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "EDDINGTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "773-707-1990",
        "authorized_official_credential": "MA, CADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Driscoll, DC, ND
• Timothy J Driscoll, DDS
• Andrea J Drott
• Carlos Duarte, M.D.
• Joshua William Duensing, DO
• Griffin Durias, OD
• Wingyin Hui Durias, OD
• Kajal Duric, BCBA
• Michael Dusek, PT
• Ear Nose Throat and Allergy Clinic, S.C.

• Substance Abuse Rehabilitation Facility in Geneva, IL
• Providers in Geneva, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.