Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renest of Illinois Supr

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1871228494

Renest of Illinois Supr is a Substance Use Disorder Rehabilitation Clinic/Center in Rockford, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

910 2nd Ave
Rockford, IL 61104-2162
Phone: (844) 473-6378
Fax: (270) 246-9950
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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
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1871228494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Waddell — Administrative Office · (844) 473-6378
Other names Renest
NPI enumeratedJuly 18, 2022
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address910 2nd Ave, Rockford, IL 61104-2162

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