NPI 1356338198
Illinois Department of Human Services
Practice location
- Address
- 4402 N Main St, Rockford, IL 61103-1278
- Phone
- (815) 987-7103
- Fax
- (815) 987-7688
Authorised official
- Name
- Mohammad Yunus
- Title
- Hospital Administrator
- Phone
- (815) 987-7778
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1356338198
- Entity type
- Organization
- NPI issued
- 5 Oct 2005
- Record last updated
- 8 Apr 2008
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.