Whalio Doctors

NPI 1043855851

Youth Services Network

Organisation Case Management Agency Rockford, IL

Practice location

Address
107 N 3rd St, Rockford, IL 61107-4010
Phone
(815) 986-1947
Fax
(815) 986-1954

Authorised official

Name
Melissa Bucalo
Title
Administrative/Licensing Manager
Phone
(815) 986-1947

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1043855851
Entity type
Organization
NPI issued
15 Nov 2019
Record last updated
15 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.