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
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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