| Tasc, Inc. | |
|
628 - 630 East Washington Street Springfield IL 62701 | |
| (217) 544-0842 | |
| (217) 544-0847 |
| Full Name | Tasc, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 628 - 630 East Washington Street, Springfield, Illinois |
| Authorized Official Name and Position | Roy Fesmire (VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 3127870208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasc, Inc. 700 S Clinton St Chicago IL 60607-4350 Ph: (312) 787-0208 | Tasc, Inc. 628 - 630 East Washington Street Springfield IL 62701 Ph: (217) 544-0842 |
| NPI Number | 1124487327 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124487327 | NPI | - | NPPES |
| 13001 | Medicaid | IL |
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