NPI 1053762344

Rosecrance INC

Organisation Substance Abuse Rehabilitation Facility La Grange, IL

Practice location

Address: 47 6th Ave Suite L, La Grange, IL 60525-2499
Phone: (815) 391-1000
Fax: (815) 316-4726
Mailing address: 1021 N Mulford Rd, Rockford, IL 61107-3877

Authorised official

Name: Phil Eaton
Title: Ceo / President
Phone: (815) 391-1000

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Illinois →

Registry record

NPI: 1053762344
Entity type: Organization
NPI issued: 28 Jun 2016
Record last updated: 24 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.