| Alcohol/drug Dui/owi Services | |
|
311 18th St Rock Island IL 61201-8715 | |
| (309) 788-5000 | |
| Not Available |
| Full Name | Alcohol/drug Dui/owi Services |
|---|---|
| Speciality | Psychologist |
| Location | 311 18th St, Rock Island, Illinois |
| Authorized Official Name and Position | Brenda Milani (OWNER) |
| Authorized Official Contact | 3092300476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol/drug Dui/owi Services 311 18th St Rock Island IL 61201-8715 Ph: () - | Alcohol/drug Dui/owi Services 311 18th St Rock Island IL 61201-8715 Ph: (309) 788-5000 |
| NPI Number | 1891177572 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Medicare PECOS PAC ID | 0648586966 |
|---|---|
| Medicare Enrollment ID | O20150901003393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891177572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.011055 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.006569 (Illinois) | Primary |
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