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Rosecrance
Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, Illinois
NPI 1790066082

Rosecrance is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Rockford, IL and is specialized in Mental Health (Including Community Mental Health Center). Rosecrance practices in Rockford, IL. The NPI Number for Rosecrance is 1790066082 and holds a License No. 04081 (Illinois).

The current practice location address for Rosecrance is 1422 20Th St, Rockford, IL and can be reached out via phone at 815-391-1000.

Location: 1422 20Th St, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790066082
Provider Name
Rosecrance
Credential
Provider Entity Type
Organization
Address
1422 20Th St, Rockford, IL, 61107-3877
Phone Number
815-391-1000
Fax Number
Provider Enumeration Date
08/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04081 05 IL
institution
Provider Business Practice Location Address Details
Address
1422 20Th St
City
Rockford
State
Illinois
Zip
61104-3519
Phone Number
815-391-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1422 20Th St
City
Rockford
State
Illinois
Zip
61104-3519
Phone Number
815-391-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
04081 (Illinois)
Definition
Definition to come...
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