Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Methadone |
261QM2800X |
| NPI Number | 1033570262 |
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| LBN Legal business name | CENTERSTONE OF ILLINOIS, INC | ||||
| Authorized official | STACY PHILLIPS - (DIRECTOR OF REVENUE CYCLES) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/16/2016 | ||||
| Last updated | 07/14/2025 - About 11 months ago | ||||
| Identifiers |
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