Illinois Medicaid-Substance Abuse Macomb

Organization Active
NPI 1588032460
Substance Use Disorder Rehabilitation Clinic/Center Macomb, IL

Illinois Medicaid-Substance Abuse Macomb holds NPI 1588032460, with a primary taxonomy of substance use disorder rehabilitation clinic/center and a practice location in Macomb, IL. The number was issued on September 9, 2015 and the NPPES record was last updated on August 19, 2019. The record lists 5 taxonomy codes.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X (IL)
Addiction (Substance Use Disorder) Counselor 101YA0400X A-0118-0010-A (IL)
Psychiatry Physician 2084P0800X (IL)
Child & Adolescent Psychiatry Physician 2084P0804X (IL)
Methadone Clinic 261QM2800X Not listed

Practice location

900 S Deer Rd
Macomb, IL 61455-2639
Phone: (309) 837-4876

Local context

Active NPPES records list 5 providers with substance use disorder rehabilitation clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 3 of them within 10 miles.

The same primary taxonomy is listed by 468 in Illinois and 7,441 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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