Illinois Department of Human Services

NPI #1356338198 in Rockford, Illinois

Provider Information

NPI Number
1356338198
Entity Type
Organization
Organization Name
Illinois Department of Human Services
Primary Specialty
Psychiatric Hospital
Enumeration Date
Oct 5, 2005
Last Updated
Apr 8, 2008

Practice Location

Address
4402 N MAIN ST
ZIP Code
61103-1278
Phone
(815) 987-7103

Authorized Official

Name
MOHAMMAD YUNUS
Title
HOSPITAL ADMINISTRATOR
Phone
(815) 987-7778

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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