Laserfiche WebLink
� a SAFETY & HEALTH MAN UAL <br />EMERVR6 5 <br />APPENDIX B-DESIGNATED PERSONNEL AND SERVICE AGENTS <br />DESIGNATED EMPLOYER REPRESENTATIVE (DER)/ALCOHOL & DRUG PROGRAM MANAGER <br />Name: Kelly Bracken <br />Address: 2300 W. 167`h Street, Markham, IL 60428 <br />Phone Number: 708-339-4100 <br />Name: Sue Hinz <br />Address: 2300 W. 167the Street, Markham, IL60428 <br />Phone Number: 708-331-4200 <br />MEDICAL REVIEW OFFICER (MRO) <br />Name: Aaron White, MD <br />Address: 7612 Taylor Ave. Ft. Smith, AR 72916 <br />Phone Number: (877) 866-2161 <br />COLLECTION SITE- DRUG AND BREATH ALCOHOL <br />Name: Kim's Trucker Services <br />Address: 7301 W. 109th PL., Worth, IL 60482 <br />Phone Number: (708) 889-5467 <br />CONSORTIUM/THIRD PARTY ADMINISTRATOR (C/TPA) <br />Name: Kim's Trucker Services <br />Address:7301 W. 109th PL., Worth, IL 60482 <br />Phone Number: (708) 889-5467 <br />SUBSTANCE ABUSE PROFESSIONAL (SAP) <br />James Golding, SAP (DOT) <br />Address: 15507 S. Cicero Ave, Oak Forest, IL 60452 <br />Phone Number: 708-926-2789 <br />Lori Welcher -Miles, LSW, SAP (DOT) <br />Address: 8214 S. Clyde Ave, Chicago, II 60617 <br />Phone Number: 708-841-2401 <br />Paul Fitzgerald PsyD, LEAP, MAC, SAP (DOT) <br />Address: 15 Spinning Wheel Road, STE 422, Hinsdale, IL 60521 <br />Phone Number: 708-337-6936 <br />SECTION 42: Anti -Drug & Alcohol Misuse Prevention Plan Program I Page 39 of 49 <br />