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Contact Information

FRED ACKER
731 SABRINA DR
EAST PEORIA, IL61611-3581
 Phone: 309-699-9700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for FRED ACKER · (Male)

NPI # 1871272237
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2023
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 31416
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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