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Organization
CALUMET COUNSELING AND DUI SERVICES,INC
Active
Organization
CALUMET COUNSELING AND DUI SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD BECKETT MD (MEDICAL DIRECTOR)
(708) 341-6707
Entity
Organization
Contact information
Practice address
1010 W 95TH ST, CHICAGO, IL 60643-1522
(773) 298-1177
Mailing address
2 CARRINGTON CT, HAZEL CREST, IL 60429-2517
(708) 341-6707
(708) 298-5723
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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