| Iroquois Mental Health Center | |
|
323 W Mulberry St Watseka IL 60970-1568 | |
| (815) 432-5241 | |
| (815) 432-4537 |
| Full Name | Iroquois Mental Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 323 W Mulberry St, Watseka, Illinois |
| Authorized Official Name and Position | Dennis P Hopkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8154325241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iroquois Mental Health Center 323 W Mulberry St Po Box 322 Watseka IL 60970-1568 Ph: (815) 432-5241 | Iroquois Mental Health Center 323 W Mulberry St Watseka IL 60970-1568 Ph: (815) 432-5241 |
| NPI Number | 1871674101 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082673025 |
|---|---|
| Medicare Enrollment ID | O20041006000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871674101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Bumyong Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487661930 PECOS PAC ID: 7719172741 Enrollment ID: I20101116000363 |
| Provider Name | Cynthia R Aleo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770743841 PECOS PAC ID: 1557506540 Enrollment ID: I20130321000582 |
| Provider Name | Barry S Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497111942 PECOS PAC ID: 5193029189 Enrollment ID: I20160211002316 |
| Provider Name | Alice A Oneil Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659658995 PECOS PAC ID: 3577892199 Enrollment ID: I20190906003083 |
| Provider Name | Jill Marie Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346867660 PECOS PAC ID: 4082079645 Enrollment ID: I20230503003056 |
Iroquois Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 |