CENTERSTONE OF ILLINOIS INC; NPI #1275994634

Contact Information

CENTERSTONE OF ILLINOIS INC

2311 S ILLINOIS AVE
CARBONDALE, IL 62903-5912

Phone: 618-937-6483
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation, Substance Use Disorder	261QR0405X
Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for CENTERSTONE OF ILLINOIS INC

NPI #	`1275994634`
LBN Legal business name	CENTERSTONE OF ILLINOIS INC
Authorized official	STACY PHILLIPS - (DIRECTOR OF REVENUE CYCLES)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/14/2016
Last updated	07/14/2025 - About 11 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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