Linden Hall 1 | |
4402 N Main St Rockford IL 61103-1278 | |
(815) 987-7103 | |
Not Available |
Full Name | Linden Hall 1 |
---|---|
Speciality | Psychiatric Unit |
Location | 4402 N Main St, Rockford, Illinois |
Authorized Official Name and Position | Steve Strock (BUSINESS ADMINISTRATOR) |
Authorized Official Contact | 8159877778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Linden Hall 1 4402 N Main St Rockford IL 61103-1278 Ph: (815) 987-7103 | Linden Hall 1 4402 N Main St Rockford IL 61103-1278 Ph: (815) 987-7103 |
NPI Number | 1639203433 |
---|---|
Provider Enumeration Date | 03/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639203433 | NPI | - | NPPES |
44-4563 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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