| Illinois Medicaid-substance Abuse Macomb | |
|
900 S Deer Rd Macomb IL 61455-2639 | |
| (309) 837-4876 | |
| Not Available |
| Full Name | Illinois Medicaid-substance Abuse Macomb |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 900 S Deer Rd, Macomb, 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 Macomb 900 S Deer Rd Macomb IL 61455-2639 Ph: (309) 837-4876 | Illinois Medicaid-substance Abuse Macomb 900 S Deer Rd Macomb IL 61455-2639 Ph: (309) 837-4876 |
| NPI Number | 1588032460 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588032460 | NPI | - | NPPES |
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