Organization
ROSECRANCE INC
Active
Organization
ROSECRANCE INC
Active
Other names
Rosecrance Oak Park Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL EATON (CEO / PRESIDENT)
(815) 391-1000
Entity
Organization
Contact information
Practice address
120 S MARION ST, OAK PARK, IL 60302-2809
(815) 387-5600
(815) 319-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2012
Last updated
11/25/2015
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