| Illini Christian Ministries Inc | |
|
204 N Main St Suite 203 Saint Joseph IL 61873 | |
| (217) 469-7566 | |
| (217) 469-2568 |
| Full Name | Illini Christian Ministries Inc |
|---|---|
| Speciality | Psychologist |
| Location | 204 N Main St, Saint Joseph, Illinois |
| Authorized Official Name and Position | Tony Y Kirkman (EXEC DIR) |
| Authorized Official Contact | 2174697566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illini Christian Ministries Inc Po Box 200 204 N. Main Suite 203 Saint Joseph IL 61873-0200 Ph: (217) 469-7566 | Illini Christian Ministries Inc 204 N Main St Suite 203 Saint Joseph IL 61873 Ph: (217) 469-7566 |
| NPI Number | 1376635078 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 12/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376635078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 178003791 (Illinois) | Primary |
| 103T00000X | Psychologist | 180000680 (Illinois) | Secondary |
Align Counseling And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Main St, Saint Joseph, IL 61873 Phone: 217-714-3763 |