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ILLINOIS MEDICAID-SUBSTANCE ABUSE GALESBURG
NPI 1497123509
Clinic/Center - Rehabilitation, Substance Use Disorder in Galesburg, IL

Active since September 04, 2015
2323 WINDISH DR, GALESBURG, IL 61401(309) 344-4200(309) 344-4281 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2019, Apr 12, 2018 (2 updates tracked since 2018).

About Illinois Medicaid-substance Abuse Galesburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS MEDICAID-SUBSTANCE ABUSE GALESBURG (NPI 1497123509) is a healthcare organization registered as a rehabilitation, substance use disorder in Galesburg, Illinois and active in the NPI registry since September 2015. The organization lists Bill Arthur Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497123509
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameILLINOIS MEDICAID-SUBSTANCE ABUSE GALESBURG
Location Address2323 WINDISH DRGalesburg, IL 61401-9780
Mailing Address2323 Windish DrGalesburg, IL 61401-9780 · (309) 344-4200 · Fax (309) 344-4281
Phone(309) 344-4200
Fax(309) 344-4281
Organization SubpartYesParent: Bridgeway, Inc.
Authorized OfficialBill Arthur NelsonCeo · (309) 344-4200
Enumeration DateSeptember 4, 2015
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1497123509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License A-0118-0005-A (IL)
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
2323 WINDISH DR, Galesburg, IL 61401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY FLATER LPN
Licensed Practical Nurse
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-4248
BAILEE SHEPHERD LCP
Counselor
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323
JENNETTE K MATHRE RN
Registered Nurse
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323
CHERYL MAJESKE MHP
Counselor
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323
JULIE SAFRANEK MHP
Counselor
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323
BRENDA HARRELL MHP
Counselor
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323
KRISTIN SPIEGEL LPC
Counselor (Mental Health)
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323
GREGORY W SALL MSW
Counselor
2323 WINDISH DR
GALESBURG, IL 61401
Knox County (309) 344-2323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Medicaid-Substance Abuse Galesburg's NPI number?

The NPI number for Illinois Medicaid-Substance Abuse Galesburg is 1497123509. It was assigned to this organization in the NPPES registry on September 4, 2015.

Where is Illinois Medicaid-Substance Abuse Galesburg located?

Illinois Medicaid-Substance Abuse Galesburg is located at 2323 Windish Dr, Galesburg, IL 61401. The listed phone number is (309) 344-4200.

What is Illinois Medicaid-Substance Abuse Galesburg's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Illinois Medicaid-Substance Abuse Galesburg was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.