| Rosecrance Inc | |
|
1401 E State St Psychiatric Unit Rockford IL 61104-2315 | |
| (815) 391-1000 | |
| (815) 316-4726 |
| Full Name | Rosecrance Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1401 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Philip Eaton (CEO/ PRESIDENT) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Inc 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | Rosecrance Inc 1401 E State St Psychiatric Unit Rockford IL 61104-2315 Ph: (815) 391-1000 |
| NPI Number | 1205279692 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 11/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205279692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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