Organization
ROSECRANCE INC
Active
Other names
Rosecrance- River North
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOMEL (CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
320 W OHIO ST, CHICAGO, IL 60654-6566
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
(815) 387-5623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
06/04/2025
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