Provider Demographics
NPI:1639312580
Name:DUI COUNSELING CENTER OF KENDALL COUNTY
Entity Type:Organization
Organization Name:DUI COUNSELING CENTER OF KENDALL COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, CRADC, SAP
Authorized Official - Phone:630-552-9910
Mailing Address - Street 1:115 E SOUTH ST
Mailing Address - Street 2:P O BOX 282
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-1417
Mailing Address - Country:US
Mailing Address - Phone:630-552-9910
Mailing Address - Fax:630-552-9920
Practice Address - Street 1:115 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-1417
Practice Address - Country:US
Practice Address - Phone:630-552-9910
Practice Address - Fax:630-552-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA20710016A251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency