# TRANSITIONS OF WESTERN ILLINOIS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Transitions of Illinois Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235967746
- **Authorized official:** LISA POTTER (BILLING SPECIALIST)
- **Authorized official phone:** (217) 223-0423

## Contact information

- **Practice address:** 4409 MAINE ST, QUINCY, IL 62305-5849
- **Practice address phone:** (217) 223-0413
- **Practice address fax:** (217) 223-0461
- **Mailing address:** PO BOX 3646, QUINCY, IL 62305-3646
- **Mailing address phone:** (217) 223-0413
- **Mailing address fax:** (217) 223-0461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 07/25/2024