| Byron Douglas Llc | |
|
701 Lee St Ste 920h Des Plaines IL 60016-4557 | |
| (847) 322-6695 | |
| (224) 938-9046 |
| Full Name | Byron Douglas Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 701 Lee St Ste 920h, Des Plaines, Illinois |
| Authorized Official Name and Position | Kevin Ball (CLINICIAN) |
| Authorized Official Contact | 8473226695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Douglas Llc 9114 Waukegan Rd Unit 945 Morton Grove IL 60053-3837 Ph: (847) 322-6695 | Byron Douglas Llc 701 Lee St Ste 920h Des Plaines IL 60016-4557 Ph: (847) 322-6695 |
| NPI Number | 1881531093 |
|---|---|
| Provider Enumeration Date | 05/04/2026 |
| Last Update Date | 05/04/2026 |
| Certification Date | 05/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881531093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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