ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI 1356338198

NPI Information

ILLINOIS DEPARTMENT OF HUMAN SERVICES is a psychiatric hospital in Rockford, IL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI is 1356338198. The provider is registered as an organization entity type.

The provider's business location address is:

4402 N MAIN ST
ROCKFORD, IL
ZIP 61103-278
Phone: (815) 987-7103
Fax: (815) 987-7688

The provider's authorized official is Mohammad Yunus .
The authorized official title is Hospital Administrator and has the following contact phone number (815) 987-7778.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 4/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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