Whalio Doctors

NPI 1609835461

Youth Service Bureau of Illinios Valley

Organisation Voluntary or Charitable Agency Ottawa, IL

Practice location

Address
424 W Madison St, Ottawa, IL 61350-2833
Phone
(815) 433-3953
Fax
(815) 433-3980

Authorised official

Name
Frank Service Vonch
Title
Executive Director
Phone
(815) 433-3953

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 28089904 (IL)

Registry record

NPI
1609835461
Entity type
Organization
NPI issued
21 Mar 2006
Record last updated
20 Sep 2022

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.