Organization · Type 2 NPI

Renest of Illinois Supr

Substance Use Disorder Rehabilitation Clinic/Center · Rockford, IL

NPI number 1871228494 Active

Practice location

910 2nd Ave
Rockford, IL 61104-2162

Call (844) 473-6378 Map

Fax (270) 246-9950

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Substance Use Disorder Rehabilitation Hospital Unit 276400000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1871228494

Renest of Illinois Supr's National Provider Identifier is 1871228494, issued on Jul 18, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Rockford, IL. The record was last updated on Mar 14, 2025.