Organization
CALUMET COUNSELING AND DUI SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E BECKETT M.D. (MEDICAL DIRECTOR OWNER)
(708) 341-6707
Entity
Organization
Contact information
Practice address
1609 SIBLEY BLVD, CALUMET CITY, IL 60409-2217
(708) 862-4054
Mailing address
2 CARRINGTON CT, HAZEL CREST, IL 60429-2517
(708) 341-6707
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-3194-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C/A-3194-0001-A
—
IL
Enumeration date
09/05/2013
Last updated
02/19/2017
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