JANICE S BENEDICT PLLC NPI 1548875628

NPI Information

NPI: 1548875628
Provider Name: JANICE S BENEDICT PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6975 REDANSA DR
ROCKFORD, IL
ZIP 61108
Phone: (815) 398-7000
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JANICE S BENEDICT PLLC is an adult mental health clinic center in Rockford, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JANICE S BENEDICT PLLC NPI is 1548875628. The provider is registered as an organization entity type.

The provider's business location address is:

6975 REDANSA DR
ROCKFORD, IL
ZIP 61108-201
Phone: (815) 398-7000
Fax: (815) 395-0671

The provider's authorized official is Janice Strand Benedict .
The authorized official title is Sole Member and has the following contact phone number (815) 399-8040.

The enumeration date for this NPI number is 9/15/2020 and was last updated on 2/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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