| Southern Illinois Behavioral Services | |
|
1016 S Madison St Suite A Du Quoin IL 62832-2442 | |
| (618) 542-4357 | |
| (618) 542-3442 |
| Full Name | Southern Illinois Behavioral Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1016 S Madison St, Du Quoin, Illinois |
| Authorized Official Name and Position | John R Venskus (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6185424357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Behavioral Services 1016 S Madison St Suite A Du Quoin IL 62832-2442 Ph: (618) 542-4357 | Southern Illinois Behavioral Services 1016 S Madison St Suite A Du Quoin IL 62832-2442 Ph: (618) 542-4357 |
| NPI Number | 1063460897 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 5092702597 |
|---|---|
| Medicare Enrollment ID | O20040427001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063460897 | NPI | - | NPPES |
| Provider Name | Sherry Pfeaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578633277 PECOS PAC ID: 4486654068 Enrollment ID: I20070104000331 |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Hickory St, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Christopher Greater Area Rural Health Planning Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Perry County Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 S Madison St, Du Quoin, IL 62832 Phone: 618-542-4357 Fax: 618-542-3442 | |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Hickory St, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Perry County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8271 E Jackson Street Rd, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Perry County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8271 E Jackson Street Rd, Du Quoin, IL 62832 Phone: 618-542-4357 |