Rinker Waiver | |
1630 Georgetown Rd Tilton IL 61833-8109 | |
(217) 443-4123 | |
Not Available |
Full Name | Rinker Waiver |
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Speciality | Community/behavioral Health |
Location | 1630 Georgetown Rd, Tilton, Illinois |
Authorized Official Name and Position | Deena G. Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
Authorized Official Contact | 5023942100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rinker Waiver 9901 Linn Station Rd Louisville KY 40223-3808 Ph: () - | Rinker Waiver 1630 Georgetown Rd Tilton IL 61833-8109 Ph: (217) 443-4123 |
NPI Number | 1275956971 |
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Provider Enumeration Date | 01/31/2014 |
Last Update Date | 01/31/2014 |
Identifier | Type | State | Issuer |
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1275956971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (Illinois) | Primary |