REVELL BURTON CADC AAS
NPI 1689948416
Counselor - Addiction (Substance Use Disorder) in Waukegan, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since February 24, 2012

3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8200(847) 360-7377 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Revell Burton Cadc Aas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVELL BURTON CADC AAS (NPI 1689948416) is an individual addiction (substance use disorder) provider in Waukegan, Illinois, licensed in Illinois (22561) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1689948416

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameREVELL BURTONCredential: CADC AAS

Location Address3002 GRAND AVEWaukegan, IL 60085-2321

Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8200 · Fax (847) 360-7377

Phone(847) 377-8200

Fax(847) 360-7377

Sole ProprietorNo

Enumeration DateFebruary 24, 2012

✔ NPI 1689948416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IL · 22561

3002 GRAND AVE, Waukegan, IL 60085

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM JOHNSON LCPC

Counselor (Professional)