Organization
DUI & ADDICTION COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY EDWARD HINKELDEY CADC (PROGRAM DIRECTOR)
(847) 949-4596
Entity
Organization
Contact information
Practice address
333 E. ILLINOIS ROUTE 83, B7, MUNDELEIN, IL 60060
(847) 949-4596
(847) 949-4598
Mailing address
333 E. ILLINOIS ROUTE 83, B7, MUNDELEIN, IL 60060
(847) 949-4596
(847) 949-4598
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
A14580001A
IL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
A14580001A
IL
Other
Enumeration date
12/08/2009
Last updated
03/29/2011
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