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Organization

ROSECRANCE INC

Active
Other names
Rosecrance McHenry County
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHIL EATON (CEO / PRESIDENT)
(815) 391-1000
Entity
Organization

Contact information

Practice address
4501 PRIME PKWY, MCHENRY, IL 60050
(815) 391-1000
(815) 316-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 316-4726

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04081
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04081
IL
Enumeration date
07/09/2012
Last updated
07/02/2019
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