| Rosecrance | |
|
1422 20th St Rockford IL 61104-3519 | |
| (815) 391-1000 | |
| Not Available |
| Full Name | Rosecrance |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1422 20th St, Rockford, Illinois |
| Authorized Official Name and Position | Phillip Eaton (CEO / PRESIDENT) |
| 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 61107-3877 Ph: (815) 391-1000 | Rosecrance 1422 20th St Rockford IL 61104-3519 Ph: (815) 391-1000 |
| NPI Number | 1790066082 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 04/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790066082 | NPI | - | NPPES |
| 04081 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04081 (Illinois) | Primary |
Glenwood Center Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2823 Glenwood Ave, Rockford, IL 61101 Phone: 815-968-5342 Fax: 815-968-4656 | |
University Medical Services At Parkview Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Parkview Ave, Rockford, IL 61107 Phone: 815-395-5637 Fax: 815-395-5887 | |
Paula Tripodi Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6735 Vistagreen Way, Rockford, IL 61107 Phone: 815-742-7489 | |
Great Lakes Neuropsychology & Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5758 Elaine Dr, Rockford, IL 61108 Phone: 815-231-1280 Fax: 815-231-1282 | |
Psychiatric Associates Of Rockford Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6078 Palo Verde Dr, Rockford, IL 61114 Phone: 815-398-9360 Fax: 815-398-1028 | |
Rosecrance Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1021 N Mulford Rd, Rockford, IL 61107 Phone: 815-391-1000 Fax: 815-316-4726 | |
Progress Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7123 Cherryvale North Blvd, Suite G, Rockford, IL 61112 Phone: 815-704-5893 Fax: 614-748-5893 |