| Roscrance Inc. | |
|
718 W Killarney St Urbana IL 61801-1015 | |
| (815) 391-1000 | |
| (815) 391-5040 |
| Full Name | Roscrance Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 718 W Killarney St, Urbana, Illinois |
| Authorized Official Name and Position | John Francis Schuster (SVP AND CFO) |
| Authorized Official Contact | 8153875642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roscrance Inc. 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 387-5600 | Roscrance Inc. 718 W Killarney St Urbana IL 61801-1015 Ph: (815) 391-1000 |
| NPI Number | 1457865958 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457865958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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