DUI & ADDICTION COUNSELING CENTER (NPI# 1669701389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669701389 |
| Entity Type | Organization |
| Organization Name | DUI & ADDICTION COUNSELING CENTER |
| Practice Address |
333 E. Illinois Route 83 B7 Mundelein IL 60060 |
| Practice Telephone | 8479494596 |
| Practice Fax Number | 8479494598 |
| Mailing Telephone | 8479494596 |
| Mailing Fax Number | 8479494598 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | MR. BARRY EDWARD HINKELDEY (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8479494596 |
| Authorized Official Credential | CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | A14580001A | IL | Agencies |
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
A14580001A | IL | Residential Treatment Facilities |
| Street Address |
333 E. ILLINOIS ROUTE 83 B7 |
| City | MUNDELEIN |
| State | IL |
| Zip Code | 60060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
| 1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
| 1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
| 1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
| 1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
| 1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
| 1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
| 1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
| 1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
| 1902033699 | Beth N Diviacchi | Registered Nurse | 3100 W Illinois Route 60, Attn: Clinic, Mundelein, IL 60060 | 2009-06-19 |
| Find all providers in zip 60060 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740841840 | Avance Inc. | Substance Abuse Rehabilitation Facility | 4765 N Lincoln Ave, Chicago, IL 60625-2077 | 2019-06-28 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1891001723 | Ford County Court Services | Substance Abuse Rehabilitation Facility | 200 W State St, Paxton, IL 60957-1179 | 2010-08-30 |
| 1558599803 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 215 N. Court Street, Methodist Church, Rockford, IL 61103-6802 | 2009-06-25 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1326216151 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 1261 Il Rte 38, Nachusa, IL 61057 | 2008-02-14 |
| 1275744385 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 1261 Illinois Route# 38, Phoenix Unit, Nachusa, IL 61057-0100 | 2007-05-24 |
| 1386779445 | Gateway Foundation, Inc | Substance Abuse Rehabilitation Facility | 55 E Jackson Blvd, Suite 1500, Chicago, IL 60604-4466 | 2007-02-22 |
| 1841249372 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 118 East Lincoln Street, Onarga, IL 60955 | 2006-05-10 |
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| 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.