Organization
SPRINGFIELD SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROECKELL (MEMBER)
(847) 229-3400
Entity
Organization
Contact information
Practice address
2034 E CLEAR LAKE AVE, SPRINGFIELD, IL 62703-1134
(217) 522-8843
(217) 522-8803
Mailing address
4711 MIDLOTHIAN TPKE, SUITE 20, CRESTWOOD, IL 60445-4900
(708) 371-4507
(708) 371-1761
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up