| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 109 N Poplar, Onarga, Illinois |
| Authorized Official Name and Position | Jason Clark Dunning (DIRECTOR OF FINANCIAL PLANNING) |
| Authorized Official Contact | 7635518664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
505 Highway 169 N Ste 500 Plymouth MN 55441-6447 Ph: (763) 551-8640 | 109 N Poplar Onarga IL 60955-0107 Ph: (815) 268-4001 |
| NPI Number | 1780938746 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780938746 | NPI | - | NPPES |
| 3B00-IPI-007 | Medicaid | IL |
Iroqouois Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Chestnut St, Onarga, IL 60955 Phone: 815-432-5241 Fax: 815-432-4537 | |