Illini Christian Ministries INC

NPI #1376635078 in Saint Joseph, Illinois

Provider Information

NPI Number: 1376635078
Entity Type: Organization
Organization Name: Illini Christian Ministries INC
Primary Specialty: Psychologist
Enumeration Date: Sep 29, 2006
Last Updated: Dec 30, 2010

Practice Location

Address: 204 N MAIN ST
Address 2: SUITE 203
City: Saint Joseph
State: Illinois
ZIP Code: 61873
Phone: (217) 469-7566

Authorized Official

Name: MR. TONY Y KIRKMAN, LCPC
Title: EXEC DIR
Phone: (217) 469-7566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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