Organization
RECOVERY CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIAM MANKINEN MD (CEO)
(615) 512-4539
Entity
Organization
Contact information
Practice address
17100 DIXIE HWY, SUITE D & E, HAZEL CREST, IL 60429-1485
(708) 335-1155
(708) 335-1171
Mailing address
17100 DIXIE HWY STE D, HAZEL CREST, IL 60429-1485
(708) 335-1155
(708) 335-1171
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
07/22/2020
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