| Illinois Valley Autism Center | |
|
4401 Progress Blvd Peru IL 61354-1109 | |
| (815) 200-6751 | |
| Not Available |
| Full Name | Illinois Valley Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4401 Progress Blvd, Peru, Illinois |
| Authorized Official Name and Position | Cindy Bennett (DIRECTOR) |
| Authorized Official Contact | 8152006751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Valley Autism Center 4401 Progress Blvd Peru IL 61354-1109 Ph: (815) 200-6751 | Illinois Valley Autism Center 4401 Progress Blvd Peru IL 61354-1109 Ph: (815) 200-6751 |
| NPI Number | 1811264526 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811264526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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