NPI 1467430124
Illinois Department of Human Services
Practice location
- Address
- 901 Southwind Dr, Springfield, IL 62703-5125
- Phone
- (217) 786-6994
- Fax
- (217) 786-7167
Authorised official
- Name
- Deborah L Dilello
- Title
- Quality Manager
- Phone
- (217) 786-6916
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1467430124
- Entity type
- Organization
- NPI issued
- 4 Jan 2006
- Record last updated
- 30 Jul 2007
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.