| Abc Dui | |
|
783 8th Street Century Plaza West Dundee IL 60118 | |
| (847) 791-4384 | |
| (847) 426-5384 |
| Full Name | Abc Dui |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 783 8th Street, West Dundee, Illinois |
| Authorized Official Name and Position | Mary Crick (ADMINISTRATOR) |
| Authorized Official Contact | 8477914384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Dui 309 Pheasant Trl Lake In The Hills IL 60156-1357 Ph: (847) 791-4384 | Abc Dui 783 8th Street Century Plaza West Dundee IL 60118 Ph: (847) 791-4384 |
| NPI Number | 1255755096 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255755096 | NPI | - | NPPES |
| A-5029-0002-A | Other | IL | IL DASA LICENSE |
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