ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1588032460

ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB is a healthcare provider. based in Macomb, Illinois. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. A-0118-0010-A (IL). The NPI Number for ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB is 1588032460

Main info

Organization
Name
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB
NPI
1588032460
Phone
(309) 837-4876
Address
900 S DEER RD
Authorized Official
MR. BILL A NELSON CEO LCPC
Enumeration Date
9 September 2015
Last Update Date
19 August 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB

  • 900 S DEER RD

    MACOMB, IL 614552639

    Phone: (309) 837-4876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61455)

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Reviews

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Frequently asked questions

Can I verify ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB with an NPI only?
You can start verification with NPI 1588032460 for ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB, then check state licensing separately.
Is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB still practicing?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB is currently listed as active in the public NPI registry.
What is ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's specialty?
The listing groups ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB with Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB?
ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB's geographic hint is Macomb, Illinois in our summary view.
Is the information about ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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