Organization
1402 COCKRELL LLC
Active
Other names
Duad Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SARIAH HOPKINS CHC (COMPLIANCE OFFICER)
(847) 324-3543
Entity
Organization
Contact information
Practice address
4012 COCKRELL LN, SPRINGFIELD, IL 62711-8327
(847) 324-3543
Mailing address
6317 N MONTICELLO AVE, CHICAGO, IL 60659-1209
(847) 324-3543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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