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ROSECRANCE INC. NPI 1770734352


NPI Information

NPI: 1770734352
Provider Name: ROSECRANCE, INC.

Doing Business As: ROSECRANCE FRANKFORT OFFICE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
20635 ABBEY WOODS CT N
SUITE #310 B
FRANKFORT, IL
ZIP 60423
Phone: (815) 391-1000
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ROSECRANCE, INC. is a rehabilitation and substance use disorder clinic center in Frankfort, IL. ROSECRANCE, INC. NPI is 1770734352. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosecrance Frankfort Office.

The provider's business location address is:

20635 ABBEY WOODS CT N
SUITE #310 B
FRANKFORT, IL
ZIP 60423-181
Phone: (815) 391-1000
Fax: (815) 391-5040

The provider's authorized official is Phil W. Eaton .
The authorized official title is Ceo and has the following contact phone number (815) 391-1000.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 4/25/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
2324500000XSubstance Abuse Rehabilitation FacilityA-0601-0029-AILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A-0601-0029-AMEDICAIDILLINOIS

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: 4/28/2024

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