NPIMap

Optum Behavioral Care Therapy Services of Illinois PC

A Medicare group practice based in Rockford, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2163944190), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2163944190The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20250319003644 IL Part B Supplier - Clinic/Group Practice 1235949553

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (20).

Sources for this page