RENEST OF ILLINOIS SUPR

NPI # 

Practice Address:

910 2Nd Ave

Rockford, IL, 61104-2162

Practice Phone:

844-473-6378

Practice Fax:

270-246-9950

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rehabilitation, Substance Use Disorder

Taxonomy Code:

261QR0405X

Updated by NPPES on 3/14/2025. You can view the original data set for NPI # 1871228494 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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RENEST OF ILLINOIS SUPR's

CMS CPT® coding data

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RENEST OF ILLINOIS SUPR's

CMS prescription data

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