| Rosecrance Griffin Willaimson | |
|
1601 University Dr Rockford IL 61107-5317 | |
| (815) 391-1000 | |
| (815) 391-5040 |
| Full Name | Rosecrance Griffin Willaimson |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1601 University Dr, Rockford, Illinois |
| Authorized Official Name and Position | Philip W Eaton (CEO) |
| Authorized Official Contact | 8153875610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Griffin Willaimson 1021 N Mulford Rd Rockford IL 61107-3877 Ph: () - | Rosecrance Griffin Willaimson 1601 University Dr Rockford IL 61107-5317 Ph: (815) 391-1000 |
| NPI Number | 1174051031 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174051031 | NPI | - | NPPES |
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