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Contact Information

RESTORING LIVES OVERCOMING ADDICTIONS
11187 DUNDEE RD STE 101
HUNTLEY, IL60142-9246
 Phone: 312-675-4205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
 

Rehabilitation, Substance Use Disorder

261QR0405X
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for RESTORING LIVES OVERCOMING ADDICTIONS · (Female)

NPI Number 1770061822
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2018
Last updated 07/31/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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