ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB
Clinic/Center - Rehabilitation, Substance Use Disorder
Active
Organization
NPI: 1588032460
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | A-0118-0010-A (IL) |
| Psychiatry & Neurology - Psychiatry | 2084P0800X | No | - |
| Psychiatry & Neurology - Child & Adolescent Psychiatry | 2084P0804X | No | - |
| Clinic/Center - Methadone | 261QM2800X | No | - |
| Clinic/Center - Rehabilitation, Substance Use Disorder | 261QR0405X | Yes | - |
Frequently Asked Questions
NPI 1588032460 is the National Provider Identifier for ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB, a Clinic/Center - Rehabilitation, Substance Use Disorder provider located in Macomb, IL. This NPI was enumerated on September 9, 2015.
Quick Facts
- NPI
- 1588032460
- Type
- Organization
- Enumerated
- Sep 9, 2015
- Last Updated
- Aug 19, 2019
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BRENDA POWELL-ALLEN, CWNP
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DAVID MILLER, D.O.
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COUNTY OF MCDONOUGH MCDONOUGH COUNTY CLERK
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SUSAN ADAMS, RN, APN
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DR. MARY LOCKARD, M.D.
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