| Illinois Medicaid-substance Abuse Galesburg | |
|
2323 Windish Dr Galesburg IL 61401-9780 | |
| (309) 344-4200 | |
| (309) 344-4281 |
| Full Name | Illinois Medicaid-substance Abuse Galesburg |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2323 Windish Dr, Galesburg, Illinois |
| Authorized Official Name and Position | Bill Arthur Nelson (CEO) |
| Authorized Official Contact | 3093444200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Medicaid-substance Abuse Galesburg 2323 Windish Dr Galesburg IL 61401-9780 Ph: (309) 344-4200 | Illinois Medicaid-substance Abuse Galesburg 2323 Windish Dr Galesburg IL 61401-9780 Ph: (309) 344-4200 |
| NPI Number | 1497123509 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497123509 | NPI | - | NPPES |
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