CALUMET COUNSELING AND DUI SERVICES,INC (NPI# 1184189672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184189672 |
| Entity Type | Organization |
| Organization Name | CALUMET COUNSELING AND DUI SERVICES,INC |
| Practice Address |
1010 W 95th St Chicago IL 60643-1522 |
| Mailing Address |
2 Carrington Ct Hazel Crest IL 60429-2517 |
| Practice Telephone | 7732981177 |
| Mailing Telephone | 7083416707 |
| Mailing Fax Number | 7082985723 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | DR. JAMES EDWARD BECKETT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7083416707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235564527 | Calumet Counseling and Dui Services,inc | Clinic/Center | 1609 Sibley Blvd, Calumet City, IL 60409-2217 | 2013-09-05 |
| Street Address |
1010 W 95TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265472542 | Tara Gagner | Nurse Practitioner | 1010 W 95th St, Chicago, IL 60643-1522 | 2006-06-07 |
| 1407397854 | Olga Baclay | Physical Therapist | 1010 W 95th St, Chicago, IL 60643-1522 | 2017-03-18 |
| 1912134347 | Southpoint Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1010 W 95th St, Chicago, IL 60643-1522 | 2009-06-11 |
| 1649395963 | Washington Heights Care Center, LLC | Skilled Nursing Facility | 1010 W 95th St, Chicago, IL 60643-1522 | 2007-03-20 |
| 1619082179 | Alan T. Hirsch | Psychologist | 1010 W 95th St, Chicago, IL 60643-1522 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376819565 | Sahar Eftekhar | Internal Medicine | 1 E Superior St Ste 306, Chicago, IL 60611-2595 | 2012-04-01 |
| 1942585468 | Ngu Md. Wellness Ltd. | Internal Medicine | 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 | 2011-10-15 |
| 1184934036 | Mary S Wenzel | Internal Medicine | 3730 N Lake Shore Dr, Chicago, IL 60613-4236 | 2010-10-13 |
| 1194824797 | Charles S Gilbert Jr | Internal Medicine | 2600 S Michigan Ave, Suite 410, Chicago, IL 60616-2857 | 2006-09-21 |
| 1598879223 | Michael D Baldinger | Internal Medicine | 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033343132 | Richard Joseph Wallyn | Internal Medicine | 1300 Brassie Ave., Flossmoor, IL 60422-1812 | 2009-05-05 |
| 1477752160 | Arthur Hoffman | Internal Medicine | 2652 Broadway Ave, Evanston, IL 60201 | 2007-07-13 |
| 1659300796 | Abhin Singla | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2006-07-01 |
| 1841238979 | Mysore N Shivaram | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2006-06-02 |
| 1659342665 | Albert C Tanlim | Internal Medicine | 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 | 2006-01-28 |
| 1407395346 | Bhs Physician Services of Illinois PC | Internal Medicine | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2017-02-13 |
| 1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
| 1679888341 | Mysore N Shivaram Md Sc | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2010-08-18 |
| 1487798955 | Clinical Associates In Medicine, LLC | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2007-02-17 |
| 1235153677 | Kirk Moberg | Internal Medicine | 602 W University Avenue, Administration, Urbana, IL 61801 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.