CENTERSTONE OF ILLINOIS, INC
NPI 1093362741
Clinic/Center - Rehabilitation, Substance Use Disorder in Carterville, IL
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About CENTERSTONE OF ILLINOIS, INC
This page provides the complete NPI Profile along with additional information for Centerstone Of Illinois, Inc, a provider established in Carterville, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1093362741 assigned on August 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. Centerstone Of Illinois, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stacy D Phillips (Revenue Cycle Manager)
- NPI
- 1093362741 Verify this NPI
- Provider Name
- CENTERSTONE OF ILLINOIS, INC
- Entity Type
- Organization
- Location Address
- 403 MUNICIPAL DR CARTERVILLE, IL 62918
- Location Phone
- (855) 608-3560
- Mailing Address
- 902 W MAIN ST WEST FRANKFORT, IL 62896
- Mailing Phone
- (618) 937-6483
- Mailing Fax
- (618) 937-1440
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2019
- Last Update Date
- 07-14-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093362741, enumerated as an "organization" on August 19, 2019.
The provider is located at 403 MUNICIPAL DR CARTERVILLE, IL 62918 and the phone number is (855) 608-3560.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
