| Illinois Medicaid-substance Abuse Monmouth | |
|
301 Industrial Park Rd Monmouth IL 61462-9794 | |
| (309) 734-9461 | |
| Not Available |
| Full Name | Illinois Medicaid-substance Abuse Monmouth |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 301 Industrial Park Rd, Monmouth, Illinois |
| Authorized Official Name and Position | Bill A Nelson (CEO) |
| Authorized Official Contact | 3093444200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Medicaid-substance Abuse Monmouth 301 Industrial Park Rd Monmouth IL 61462-9794 Ph: (309) 734-9461 | Illinois Medicaid-substance Abuse Monmouth 301 Industrial Park Rd Monmouth IL 61462-9794 Ph: (309) 734-9461 |
| NPI Number | 1427425248 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425248 | NPI | - | NPPES |
Bridgeway Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Industrial Park Rd, Monmouth, IL 61462 Phone: 309-734-9461 Fax: 309-734-3909 | |
Pawprint Pathway Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 S 4th St, Monmouth, IL 61462 Phone: 309-734-2813 |