1871228494 RENEST OF ILLINOIS SUPR
Substance Use Disorder Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- RENEST OF ILLINOIS SUPR
- Enumeration Date
- July 18, 2022
- Last Update
- March 14, 2025
- Authorized Official
- THERESA WADDELL CADC, MA
ADMINISTRATIVE OFFICE
Phone: (844) 473-6378
Practice Location
- Address
- 910 2ND AVE
ROCKFORD, IL 611042162 - Phone
- (844) 473-6378
- Fax
- (270) 246-9950
Mailing Address
- Address
- 910 2ND AVE
ROCKFORD, IL 611042162 - Phone
- (270) 839-6743
- Fax
- (270) 246-9950
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | N/A | N/A | No |
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-00229-001-A | 05 | IL | N/A |
Frequently Asked Questions
What is RENEST OF ILLINOIS SUPR's NPI number?
RENEST OF ILLINOIS SUPR's NPI number is 1871228494.
Which doctor has NPI number 1871228494?
The doctor with NPI number 1871228494 is RENEST OF ILLINOIS SUPR.
What is RENEST OF ILLINOIS SUPR's practice address?
RENEST OF ILLINOIS SUPR's practice address is 910 2ND AVE, ROCKFORD, IL, 611042162.
Which doctor practices at 910 2ND AVE, ROCKFORD, IL, 611042162?
RENEST OF ILLINOIS SUPR practices at 910 2ND AVE, ROCKFORD, IL, 611042162.
What is RENEST OF ILLINOIS SUPR's phone number?
RENEST OF ILLINOIS SUPR's phone number is (844) 473-6378.
Who is (844) 473-6378?
(844) 473-6378 is the phone number for RENEST OF ILLINOIS SUPR.
What is RENEST OF ILLINOIS SUPR's specialty?
RENEST OF ILLINOIS SUPR's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is RENEST OF ILLINOIS SUPR?
RENEST OF ILLINOIS SUPR is a Substance Use Disorder Rehabilitation Clinic/Center.
Is RENEST OF ILLINOIS SUPR a Rehabilitation, Substance Use Disorder?
Yes, RENEST OF ILLINOIS SUPR is a Rehabilitation, Substance Use Disorder.
Is RENEST OF ILLINOIS SUPR still practicing?
Yes, RENEST OF ILLINOIS SUPR is currently practicing.
Is RENEST OF ILLINOIS SUPR accepting new patients?
RENEST OF ILLINOIS SUPR may be accepting new patients. Please call their office at (844) 473-6378 to inquire about availability.
Is NPI 1871228494 still active?
Yes, NPI 1871228494 is currently active.
Where does RENEST OF ILLINOIS SUPR practice?
RENEST OF ILLINOIS SUPR practices in ROCKFORD, IL.