Illinois Rural Community Care Organization

NPI 1114305778 - Case Management - 251B00000X

NPI Details
NPI 1114305778
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ANGELA ANGELA
Position DIRECTOR OF QUALITY
Phone (815) 875-2999
Fax
Practice Location
245 BACKBONE RD E
PRINCETON IL, 61356-8652, US
Phone (815) 875-2999
Fax
Business Location
245 BACKBONE RD E
PRINCETON IL, 61356-8652, US
Phone (815) 875-2999
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Illinois
License Number 041269745
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According to our database, Illinois Rural Community Care Organization NPI is 1114305778, taxonomy code is 251B00000X and license number is 041269745, license state is located at Illinois. Illinois Rural Community Care Organization physically located at 245 Backbone Rd E, Princeton IL, 61356-8652. NPI Number 1033115704 has the healthcare provider type.

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1114305778 NPI number is provided on an as is basis without warranty of any kind. 1114305778 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Rural Community Care Organization are for informational purposes only.