JANET WATTLES CENTER


Address: 2014 Auburn St, Rockford, IL 61103-4479
Phone: 8159689300

JANET WATTLES CENTER (NPI# 1831486521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831486521
Entity Type Organization
Organization Name JANET WATTLES CENTER
Practice Address 2014 Auburn St
Rockford
IL 61103-4479
Mailing Address 526 W State St
Rockford
IL 61101-1214
Practice Telephone 8159689300
Mailing Telephone 8159689300
Mailing Fax Number 8159685314
Enumeration Date 2011-07-01
Last Update Date 2011-07-01
Authorized Official Name PHIL EATON (CEO/PRESIDENT)
Authorized Official Telephone 8159689300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 10120962 01
IL 020 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659668333 Janet Wattles Center Clinic/Center 2406 Auburn St, Rockford, IL 61103-4495 2011-07-01
1124313465 Janet Wattles Center Clinic/Center 1422 20th St, Rockford, IL 61104-3519 2011-06-15
1578858817 Janet Wattles Center Clinic/Center 1509 Benton St, Rockford, IL 61107-4322 2011-06-15
1558327544 Janet Wattles Center Clinic/Center 526 W State St, Rockford, IL 61101-1214 2006-04-26
1922395615 Janet Wattles Center Clinic/Center 8616 Northern Ave, Rockford, IL 61107-5309 2011-07-01
1245525583 Janet Wattles Center Clinic/Center 475 Southtowne Dr, Belvidere, IL 61008-5643 2011-06-15
1225323561 Janet Wattles Center Clinic/Center 707 N Court St, Rockford, IL 61103-6954 2011-06-15

Office Location

Street Address 2014 AUBURN ST
City ROCKFORD
State IL
Zip Code 61103-4479

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083181440 James A Wooldridge Counselor 2014 Auburn St, Rockford, IL 61103-4479 2018-10-24
1538635487 Stacy Skirvin Counselor 2014 Auburn St, Rockford, IL 61103-4479 2018-10-18
1578047387 Kris James Manders Counselor 2014 Auburn St, Rockford, IL 61103-4479 2018-09-18
1275814568 Rosecrance Community Based Residential Treatment Facility, Mental Illness 2014 Auburn St, Rockford, IL 61103-4479 2011-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
Find all providers in zip 61103

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659668333 Janet Wattles Center Clinic/Center 2406 Auburn St, Rockford, IL 61103-4495 2011-07-01
1124313465 Janet Wattles Center Clinic/Center 1422 20th St, Rockford, IL 61104-3519 2011-06-15
1578858817 Janet Wattles Center Clinic/Center 1509 Benton St, Rockford, IL 61107-4322 2011-06-15
1366762064 Lutheran Social Services of Il Clinic/Center 308 W State St Ste 205, Rockford, IL 61101-1117 2010-06-03
1306070032 Along The Path Counseling Services P.C. Clinic/Center 433 S Phelps Ave, Suite 2, Rockford, IL 61108-2442 2009-05-09
1851457121 Joseph H. Vaughn Clinic/Center 4875 Manhattan Dr, Rockford, IL 61108 2006-12-29
1558327544 Janet Wattles Center Clinic/Center 526 W State St, Rockford, IL 61101-1214 2006-04-26
1194382069 Jesse Belle Counseling Pllc Clinic/Center 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 2019-05-24
1942771548 Center for The Healing Mind Pllc Clinic/Center 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 2018-12-09
1114493772 Remedies Renewing Lives Clinic/Center 220 Easton Pkwy, Rockford, IL 61108-2203 2018-10-22
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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