1588032460 ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB

Substance Use Disorder Rehabilitation Clinic/Center

Active

Basic Information

Organization Name
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB
Enumeration Date
September 9, 2015
Last Update
August 19, 2019
Authorized Official
MR. BILL A NELSON LCPC
CEO
Phone: (309) 344-4200

Practice Location

Address
900 S DEER RD
MACOMB, IL 614552639
Phone
(309) 837-4876

Mailing Address

Address
900 S DEER RD
MACOMB, IL 614552639
Phone
(309) 837-4876

Specialties & Taxonomies

Specialty Code Classification License State Primary
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
101YA0400X Counselor A-0118-0010-A IL No
Psychiatry Physician
Psychiatry
2084P0800X Psychiatry & Neurology N/A IL No
Child & Adolescent Psychiatry Physician
Child & Adolescent Psychiatry
2084P0804X Psychiatry & Neurology N/A IL No
Methadone Clinic
Methadone
261QM2800X Clinic/Center N/A N/A No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center N/A IL Primary

Frequently Asked Questions

What is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's NPI number?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's NPI number is 1588032460.
Which doctor has NPI number 1588032460?
The doctor with NPI number 1588032460 is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB.
What is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's practice address?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's practice address is 900 S DEER RD, MACOMB, IL, 614552639.
Which doctor practices at 900 S DEER RD, MACOMB, IL, 614552639?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB practices at 900 S DEER RD, MACOMB, IL, 614552639.
What is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's phone number?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's phone number is (309) 837-4876.
Who is (309) 837-4876?
(309) 837-4876 is the phone number for ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB.
What is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's specialty?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB is a Substance Use Disorder Rehabilitation Clinic/Center.
Is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB a Rehabilitation, Substance Use Disorder?
Yes, ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB is a Rehabilitation, Substance Use Disorder.
Is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB still practicing?
Yes, ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB is currently practicing.
Is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB accepting new patients?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB may be accepting new patients. Please call their office at (309) 837-4876 to inquire about availability.
Is NPI 1588032460 still active?
Yes, NPI 1588032460 is currently active.
Where does ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB practice?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB practices in MACOMB, IL.