ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB

Substance Use Disorder Rehabilitation Clinic/Center · MACOMB, IL

Organization Active NPI 1588032460

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Substance Use Disorder Rehabilitation Clinic/Center261QR0405XIL
Addiction (Substance Use Disorder) Counselor101YA0400XA-0118-0010-AIL
Psychiatry Physician2084P0800XIL
Child & Adolescent Psychiatry Physician2084P0804XIL
Methadone Clinic261QM2800X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.