Optum Behavioral Care Therapy Services of Illinois PC

NPI #1235949553 in Rockford, Illinois

Provider Information

NPI Number: 1235949553
Entity Type: Organization
Organization Name: Optum Behavioral Care Therapy Services of Illinois PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 9, 2025
Last Updated: Mar 7, 2025

Practice Location

Address: 6392 LINDEN RD
City: Rockford
State: Illinois
ZIP Code: 61109-2816
Phone: (779) 368-0060

Authorized Official

Name: STACY CLOYD
Title: SECRETARY
Phone: (763) 330-4953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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