| Youth Service Bureau Of Illinois Valley | |
|
1700 N Farnsworth Ave Ste 18 Aurora IL 60505-1186 | |
| (630) 820-6303 | |
| (630) 820-6306 |
| Full Name | Youth Service Bureau Of Illinois Valley |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1700 N Farnsworth Ave Ste 18, Aurora, Illinois |
| Authorized Official Name and Position | Lisa Kay Gustafson (TREATMENT COORDINATOR) |
| Authorized Official Contact | 8154333953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Service Bureau Of Illinois Valley 424 W Madison St Ottawa IL 61350-2833 Ph: (815) 433-3953 | Youth Service Bureau Of Illinois Valley 1700 N Farnsworth Ave Ste 18 Aurora IL 60505-1186 Ph: (630) 820-6303 |
| NPI Number | 1750626966 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750626966 | NPI | - | NPPES |
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