| Southern Illinois Behavioral Services | |
|
104 S Hickory St Du Quoin IL 62832-1839 | |
| (618) 542-6722 | |
| (618) 542-6623 |
| Full Name | Southern Illinois Behavioral Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 S Hickory St, Du Quoin, Illinois |
| Authorized Official Name and Position | John R Venskus (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6185424357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Behavioral Services 8271 E Jackson Street Rd Du Quoin IL 62832-3811 Ph: (618) 542-6722 | Southern Illinois Behavioral Services 104 S Hickory St Du Quoin IL 62832-1839 Ph: (618) 542-6722 |
| NPI Number | 1639311673 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 04/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639311673 | NPI | - | NPPES |
| 012300790 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180004129 (Illinois) | Primary |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1016 S Madison St, Suite A, 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: 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 | |
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 |