Organization
NORTHERN ILLINOIS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS HOWELL (CEO)
(815) 261-3450
Entity
Organization
Contact information
Practice address
2602 IL ROUTE 176, CRYSTAL LAKE, IL 60014-2225
(815) 261-3450
(815) 261-3451
Mailing address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
(815) 261-3450
(815) 261-3451
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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