Kelly Accurate Dui Treatment Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

KELLY ACCURATE DUI TREATMENT SERVICES, LLC

Practice address

20550 S Lagrange Rd
Lower Level
Frankfort, IL 60423-1397

Phone

(815) 630-8828

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Miss Renee Patrice Kelly, CADC

Title

Owner /Director

Phone

(708) 323-8270

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• kelly accurate dui Doing business as

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1609222652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD",
            "address_2": "LOWER LEVEL",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231397",
            "telephone_number": "815-630-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD",
            "address_2": "LOWER LEVEL",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231397",
            "telephone_number": "815-630-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ACCURATE DUI TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER /DIRECTOR",
        "authorized_official_telephone_number": "708-323-8270",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341642079001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC CERTIFICATION LICENSE NUMBER",
            "identifier": "A5452002A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kelly accurate dui",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Ann Kats
• Bradley N Katzmann, D.C.
• Elaine Kayhan, EDM, OTR/L
• KC Health Horizons, Inc.
• Joseph Edward Kelley, M.D.
• Renee Kelly, MHS, CADC, MISA
• Kelly Kerner
• Kiansh Dental LLC
• Kids First Words II, Inc.
• Kimberly Reevas, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.