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Organization

ILLINOIS ALCOHOL AND DRUG EVALUATION SERVICE, INC

Active
Other names
IADES, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANN THERESE BAHL (CO-OWNER VICE PRESIDENT)
(309) 692-9236
Entity
Organization

Contact information

Practice address
7501 N UNIVERSITY ST, SUITE 201, PEORIA, IL 61614-1222
(309) 692-9236
(309) 692-5262
Mailing address
7501 N UNIVERSITY ST, SUITE 201, PEORIA, IL 61614-1222
(309) 692-9236
(309) 692-5262

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
A50140001A
IL

Other

Enumeration date
05/23/2007
Last updated
05/14/2008
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