Organization
NORTHERN ILLINOIS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK HOWELL (EXECUTIVE DIRECTOR)
(815) 261-3450
Entity
Organization
Contact information
Practice address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
(484) 432-0113
Mailing address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
09/20/2023
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