| Youth Service Bureau Of Illinois Valley | |
|
4231 Progress Blvd Ste 1 Peru IL 61354-1193 | |
| (815) 433-3953 | |
| (815) 433-3980 |
| Full Name | Youth Service Bureau Of Illinois Valley |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4231 Progress Blvd Ste 1, Peru, Illinois |
| Authorized Official Name and Position | Stephanie Rosales (CLINICAL ADM ASST) |
| 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 4231 Progress Blvd Ste 1 Peru IL 61354-1193 Ph: (815) 433-3953 |
| NPI Number | 1124748546 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124748546 | NPI | - | NPPES |
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