Organization
ROSECRANCE INC
Active
Other names
Rosecrance Dakota Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL EATON (CEO / PRESIDENT)
(815) 391-1000
Entity
Organization
Contact information
Practice address
620 DAKOTA ST, CRYSTAL LAKE, IL 60012
(815) 391-1000
(815) 316-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 316-2746
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04081
—
IL
Enumeration date
05/05/2016
Last updated
09/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us