Illinois Medicaid-Substance Abuse Macomb
NPI 1588032460 · Substance Use Disorder Rehabilitation Clinic/Center · Macomb, IL
Illinois Medicaid-Substance Abuse Macomb is a Substance Use Disorder Rehabilitation Clinic/Center organization in Macomb, IL (NPI 1588032460).
Provider details
- NPI number
- 1588032460
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Bridgeway Inc
- Organization subpart
- Yes
- Authorized official
- Bill Nelson, Ceo(309) 344-4200
- License
- A-0118-0010-A (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2019-08-19
Frequently asked questions
- What is Illinois Medicaid-Substance Abuse Macomb's NPI number?
- Illinois Medicaid-Substance Abuse Macomb's National Provider Identifier (NPI) is 1588032460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Medicaid-Substance Abuse Macomb?
- Illinois Medicaid-Substance Abuse Macomb is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Illinois Medicaid-Substance Abuse Macomb located?
- Illinois Medicaid-Substance Abuse Macomb's practice location on file with NPPES is 900 S Deer Rd, Macomb, IL 61455-2639.
- What is Illinois Medicaid-Substance Abuse Macomb's phone number?
- The practice phone number listed in the NPPES registry for Illinois Medicaid-Substance Abuse Macomb is (309) 837-4876.
- Who is the authorized official for Illinois Medicaid-Substance Abuse Macomb?
- The authorized official listed on Illinois Medicaid-Substance Abuse Macomb's NPPES record is Bill Nelson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Medicaid-Substance Abuse Macomb's NPI active?
- Yes — Illinois Medicaid-Substance Abuse Macomb's NPI (1588032460) is active in the NPPES registry as of the last update on 2019-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.