Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Illinois Medicaid-Substance Abuse Galesburg

Organization Addiction (Substance Use Disorder) Counselor · NPI 1497123509

Illinois Medicaid-Substance Abuse Galesburg is an Addiction (Substance Use Disorder) Counselor in Galesburg, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

2323 Windish Dr
Galesburg, IL 61401-9780
Phone: (309) 344-4200
Fax: (309) 344-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence A-0118-0005-A (IL)
Methadone Clinic Taxonomy 261QM2800X

Record details

NPI number1497123509
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBridgeway, Inc
Authorized official Bill Nelson — Ceo · (309) 344-4200
NPI enumeratedSeptember 4, 2015
Last updated in NPPESAugust 19, 2019
Mailing address2323 Windish Dr, Galesburg, IL 61401-9780

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