Dui & Addiction Counseling Center
Organization Active NPI Children's Substance Abuse Rehabilitation Facility · Mundelein, IL
NPI 1669701389 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1669701389
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Children's Substance Abuse Rehabilitation Facility 3245S0500X
- License
- A14580001A (IL)
- Legal business name
- DUI & ADDICTION COUNSELING CENTER
- Practice address
- 333 E. Illinois Route 83
B7
Mundelein, IL 60060 - Phone
- (847) 949-4596
- Fax
- (847) 949-4598
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Barry Edward Hinkeldey, CADC
- Title
- Program Director
- Phone
- (847) 949-4596
National Provider Directory
Locations
333 E Il Route 83
Ste B7
Mundelein, IL 60060
Phone (847) 949-4596
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | A14580001A | IL | |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | A14580001A | IL | Yes |
Addresses
Primary practice location
333 E. Illinois Route 83
B7
Mundelein, IL 60060
Mailing address
333 E. Illinois Route 83
B7
Mundelein, IL 60060
Phone (847) 949-4596
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- Melanie Elise Dillon
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- Michael Walter Duzey
- Amanda Nichole Dyer
- Jaime Earing
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All providers in Mundelein, IL · Children's Substance Abuse Rehabilitation Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.