SearchIllinois101Y00000X

John Prain, CADC

NPI 1396867420 · on the registry since 2007

Practice

Address
900 S Deer Rd
Macomb, IL 61455
Phone
(309) 837-4876
Fax
(309) 833-1531
Organisation at this address
Bridgeway Inc
Bridgeway, Inc
Illinois Medicaid-Substance Abuse Macomb
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois