Organization
CENTERSTONE OF ILLINOIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY PHILLIPS (DIRECTOR OF REVENUE CYCLES)
(618) 937-6483
Entity
Organization
Contact information
Practice address
2311 S ILLINOIS AVE, CARBONDALE, IL 62903-5912
(618) 937-6483
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
07/14/2025
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