| Illinois Medicaid- Substance Abuse Kewanee | |
|
137 E College St Kewanee IL 61443-3703 | |
| (309) 852-4331 | |
| Not Available |
| Full Name | Illinois Medicaid- Substance Abuse Kewanee |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 137 E College St, Kewanee, Illinois |
| Authorized Official Name and Position | Bill A 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 Kewanee 137 E College St Kewanee IL 61443-3703 Ph: (309) 852-4331 | Illinois Medicaid- Substance Abuse Kewanee 137 E College St Kewanee IL 61443-3703 Ph: (309) 852-4331 |
| NPI Number | 1386011161 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386011161 | NPI | - | NPPES |
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