| Rosecrance | |
|
1631 S Galena Ave Freeport IL 61032-2517 | |
| (815) 391-1000 | |
| Not Available |
| Full Name | Rosecrance |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1631 S Galena Ave, Freeport, Illinois |
| Authorized Official Name and Position | David Gomel (CEO) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance 1021 N Mulford Rd Rockford IL 61107-3874 Ph: (815) 387-5623 | Rosecrance 1631 S Galena Ave Freeport IL 61032-2517 Ph: (815) 391-1000 |
| NPI Number | 1023764693 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023764693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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