| Rosecrance Inc. | |
|
701 Lee St Des Plaines IL 60016-4539 | |
| (815) 391-1000 | |
| (815) 391-5040 |
| Full Name | Rosecrance Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 701 Lee St, Des Plaines, Illinois |
| Authorized Official Name and Position | Philip W. Eaton (CEO) |
| Authorized Official Contact | 8153875600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Inc. 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 387-5600 | Rosecrance Inc. 701 Lee St Des Plaines IL 60016-4539 Ph: (815) 391-1000 |
| NPI Number | 1861901043 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861901043 | NPI | - | NPPES |
| A-0601-0052-A | Other | IL | IL STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A-0601-0052-A (Illinois) | Primary |
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