ROSECRANCE INC (NPI# 1306182043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306182043 |
Entity Type | Organization |
Organization Name | ROSECRANCE INC |
Other Organization Name | ROSECRANCE OAK PARK OFFICE |
Practice Address |
120 S Marion St Oak Park IL 60302-2809 |
Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
Practice Telephone | 8153875600 |
Practice Fax Number | 8153194726 |
Mailing Telephone | 8153875600 |
Mailing Fax Number | 8153164726 |
Enumeration Date | 2012-12-28 |
Last Update Date | 2015-11-25 |
Authorized Official Name | MR. PHIL EATON (CEO / PRESIDENT) |
Authorized Official Telephone | 8153911000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Rosecrance Oak Park Office | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
1720488604 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 876 Pleasant St, Woodstock, IL 60098-2245 | 2014-08-28 |
1124449731 | Rosecrance Inc | Clinic/Center | 422 Tracy Court, Crystal Lake, IL 60014 | 2013-12-27 |
1184976201 | Rosecrance Inc | Clinic/Center | N27w23957 Paul Rd, Suite 101, Pewaukee, WI 53072-6223 | 2012-10-12 |
1144585803 | Rosecrance Inc | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050 | 2012-07-09 |
1356327340 | Rosecrance Inc | Clinic/Center | 1601 University Dr, Rosecrance Inc Griffin Williamson, Rockford, IL 61107-5317 | 2005-12-21 |
1407832611 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 215 N Court St, Court Street United Methodist Church, Rockford, IL 61103-6802 | 2005-12-20 |
1770569972 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 810 E State St Ste 200, River District Clinic, Rockford, IL 61104-1001 | 2005-12-20 |
1568459709 | Rosecrance Inc | Clinic/Center | 3815 Harrison Ave, Outpatient, Rockford, IL 61108-7631 | 2005-10-03 |
Street Address |
120 S MARION ST |
City | OAK PARK |
State | IL |
Zip Code | 60302-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609984285 | Diane Marie Gilliard | Counselor | 120 S Marion St, 4th Floor, Oak Park, IL 60302-2809 | 2006-08-25 |
1578160727 | Brooke Marie Fadanelli | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-10-01 |
1578170015 | Daniel Talley | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-29 |
1558978080 | Aileen Apuli | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-29 |
1124635511 | Michelle B Dumbroff | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-29 |
1962019950 | Sarah Jean Allen | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-24 |
1053927996 | Janet Marie Mankoff | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-16 |
1295349538 | Angelique Bianca White-millwood | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2020-09-03 |
1881253979 | Cassandra Mcellen | Counselor | 120 S Marion St, Oak Park, IL 60302-2809 | 2019-06-12 |
1447713144 | Laura Nessler | Social Worker | 120 S Marion St, Oak Park, IL 60302-2809 | 2019-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
Find all providers in zip 60302 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.