| Northwestern Il Community Action Agency | |
|
27 S State Ave Ste 102 Freeport IL 61032-4210 | |
| (815) 656-2669 | |
| (815) 232-3143 |
| Full Name | Northwestern Il Community Action Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 27 S State Ave Ste 102, Freeport, Illinois |
| Authorized Official Name and Position | Elisha Walker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8156562669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Il Community Action Agency 27 S State Ave Ste 102 Freeport IL 61032-4210 Ph: (815) 656-2669 | Northwestern Il Community Action Agency 27 S State Ave Ste 102 Freeport IL 61032-4210 Ph: (815) 656-2669 |
| NPI Number | 1184449423 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184449423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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