| Sinnissippi Centers, Inc. | |
|
102 S Hennepin Ave Dixon IL 61021-3013 | |
| (815) 284-6611 | |
| Not Available |
| Full Name | Sinnissippi Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 102 S Hennepin Ave, Dixon, Illinois |
| Authorized Official Name and Position | Teresa A Good (VP/CFO) |
| Authorized Official Contact | 8152846611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinnissippi Centers, Inc. 325 Il Route 2 Dixon IL 61021-9118 Ph: (815) 284-6611 | Sinnissippi Centers, Inc. 102 S Hennepin Ave Dixon IL 61021-3013 Ph: (815) 284-6611 |
| NPI Number | 1801425277 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801425277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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