Organization · Type 2 NPI

Rosecrance Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Crystal Lake, IL

NPI number 1124449731 Active

Practice location

422 Tracy Court
Crystal Lake, IL 60014

Call (815) 391-1000 Map

Fax (815) 316-4726

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Crystal Lake

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NPI record

NPI: 1124449731
Entity type: Organization (Type 2)
Issued: Dec 27, 2013
Last updated: Sep 5, 2018
Status: Active

Other names

<unavail>
Rosecrance Crystal Lake · doing business as
Rosecrance Crystal Lake · doing business as

Authorized official

Phil Eaton, MBA
CEO / President
(815) 391-1000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124449731

Rosecrance Inc's National Provider Identifier is 1124449731, issued on Dec 27, 2013. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 5, 2018.