Illinois Alcohol and Drug Evaluation Service, Inc

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

A50140001A Issued in IL

Legal business name

ILLINOIS ALCOHOL AND DRUG EVALUATION SERVICE, INC

Doing business as

IADES, Inc.

Practice address

7501 N University St
Suite 201
Peoria, IL 61614-1222

Phone

(309) 692-9236

Fax

(309) 692-5262

NPI assigned

May 23, 2007

Last updated

May 14, 2008By 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

Ms. Ann Therese Bahl

Title

Co-Owner Vice President

Phone

(309) 692-9236

Specialties & licenses 1

Addresses

Other names 1

• IADES, Inc. Doing business as

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386854750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141222",
            "telephone_number": "309-692-9236",
            "fax_number": "309-692-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141222",
            "telephone_number": "309-692-9236",
            "fax_number": "309-692-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ALCOHOL AND DRUG EVALUATION SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "CO-OWNER  VICE PRESIDENT",
        "authorized_official_telephone_number": "309-692-9236",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "IL",
            "license": "A50140001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IADES, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ossama Ikladios, MD
• Patricio Luis Ilada IV, M.D.
• Sadia Ilahi, MD
• Shams B Ilahi, MD
• Tahir Ilahi, MD
• Illinois Cardiac Surgery Associates SC
• Illinois Gastroenterology Institute, PLLC
• Illinois Gastroenterology Institute, PLLC (Peoria Anesthesia Service)
• Illinois Hospital Medicine Associates PC
• Illinois Mentor (Peoria Site 014030)

• Children's Substance Abuse Rehabilitation Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Children's Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.