| Rosecrance Dakota Clinic | |
|
620 Dakota St Crystal Lake IL 60012 | |
| (815) 391-1000 | |
| (815) 316-4726 |
| Full Name | Rosecrance Dakota Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 620 Dakota St, Crystal Lake, Illinois |
| Authorized Official Name and Position | Phil Eaton (CEO / PRESIDENT) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Dakota Clinic 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | Rosecrance Dakota Clinic 620 Dakota St Crystal Lake IL 60012 Ph: (815) 391-1000 |
| NPI Number | 1134575558 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 09/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134575558 | NPI | - | NPPES |
| 04081 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Bennett & Bennett Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Route 176, Crystal Lake, IL 60014 Phone: 815-477-4003 | |
Good Life Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St Ste 120, Crystal Lake, IL 60014 Phone: 815-893-9544 | |
Beyond Play Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Nunda Trl, Crystal Lake, IL 60012 Phone: 224-201-8769 Fax: 224-324-8549 | |
Crystal Lake Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014 Phone: 815-893-9839 | |
Douglas N Neal & Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Drive, Crystal Lake, IL 60014 Phone: 815-477-4727 Fax: 815-356-8779 | |
Edwin V. Gumapas M.d. Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 N Virginia St, Suite 2b, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |
Rosecrance Crystal Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Tracy Court, Crystal Lake, IL 60014 Phone: 815-391-1000 Fax: 815-316-4726 |