Organization
ALCOHOL CHEMICAL EVALUATION SERVICES
Active
Other names
ACES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI A DRIVER-DIXON (BUSINESS OFFICE MANAGER)
(217) 344-2671
Entity
Organization
Contact information
Practice address
217 N BROADWAY AVE, URBANA, IL 61801-2706
(217) 344-2671
Mailing address
217 N BROADWAY AVE, URBANA, IL 61801-2706
(217) 344-2671
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-7511-0003-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-7511-0003-A
STATE OF ILLINOIS LICENSE
IL
Enumeration date
12/18/2008
Last updated
12/18/2008
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