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Organization

ROSECRANCE, INC.

Active
Other names
Rosecrance Belvidere
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP EATON (PRESIDENT/CEO)
(815) 387-5600
Entity
Organization

Contact information

Practice address
915 ALEXANDRA DR, BELVIDERE, IL 61008-6512
(815) 391-1000
(815) 316-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0601-0035-A
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A-0601-0035-A
IL
Enumeration date
02/05/2016
Last updated
02/05/2016
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