Organization
ROSECRANCE, INC.
Active
Other names
Rosecrance Frankfort Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL W. EATON MASTERS IN SCIENCE (CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
20635 ABBEY WOODS CT N, SUITE #310 B, FRANKFORT, IL 60423-3181
(815) 391-1000
(815) 391-5040
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
A-0601-0029-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0601-0029-A
—
IL
Enumeration date
10/01/2008
Last updated
04/25/2018
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