ILLINOIS DEPARTMENT OF HUMAN SERVICES


Address: 4402 N Main St, Rockford, IL 61103-1278
Phone: 8159877103

ILLINOIS DEPARTMENT OF HUMAN SERVICES (NPI# 1356338198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356338198
Entity Type Organization
Organization Name ILLINOIS DEPARTMENT OF HUMAN SERVICES
Practice Address 4402 N Main St
Rockford
IL 61103-1278
Practice Telephone 8159877103
Practice Fax Number 8159877688
Mailing Telephone 8159877103
Mailing Fax Number 8159877688
Enumeration Date 2005-10-05
Last Update Date 2008-04-08
Authorized Official Name MOHAMMAD YUNUS (HOSPITAL ADMINISTRATOR)
Authorized Official Telephone 8159877778
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467430124 Illinois Department of Human Services Psychiatric Hospital 901 Southwind Dr, Springfield, IL 62703-5125 2006-01-04
1376525204 Illinois Department of Human Services Intermediate Care Facility, Mentally Retarded 1120 Washington Ave, Dixon, IL 61021-1258 2005-11-16
1053535864 Illinois Department of Human Services Intermediate Care Facility, Mentally Retarded 114 N Orchard Dr, Park Forest, IL 60466-1200 2007-04-12
1154453991 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1639214760 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1548305675 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1437294568 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1346385473 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1053456186 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1932244860 Illinois Department of Human Services Psychiatric Unit 4500 College Ave, Alton, IL 62002 2007-02-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ILLINOIS DEPARTMENT OF HUMAN SERVICES 401 S Clinton St, Chicago, IL 60607-3800

Office Location

Street Address 4402 N MAIN ST
City ROCKFORD
State IL
Zip Code 61103-1278

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477838563 Joan H Hosang Pharmacist 4402 N Main St, Rockford, IL 61103-1278 2011-10-20
1912031899 Singer Mental Health Center Psychiatric Unit 4402 N Main St, Rockford, IL 61103-1278 2007-03-15
1639203433 Singer Mental Health Center Psychiatric Unit 4402 N Main St, Rockford, IL 61103-1278 2007-03-15
1275666547 Singer Mental Health Center Psychiatric Unit 4402 N Main St, Rockford, IL 61103-1278 2007-03-14
1861546699 Singer Mental Health Center Psychiatric Hospital 4402 N Main St, Rockford, IL 61103-1278 2007-01-22
1780665133 H. Douglas Singer Mental Health Center General Acute Care Hospital 4402 N Main St, Rockford, IL 61103-1278 2005-11-10
1184614026 Grace Muricken Thundiyil Psychiatry & Neurology 4402 N Main St, Rockford, IL 61103-1278 2005-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
Find all providers in zip 61103

Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

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.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861546699 Singer Mental Health Center Psychiatric Hospital 4402 N Main St, Rockford, IL 61103-1278 2007-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1821491960 Latoya Bragg-finch Psychiatric Hospital 6302 Dolores Dr, Oak Forest, IL 60452-2718 2014-10-03
1790197978 Aurora Chicago Lakeshore Hospital, LLC Psychiatric Hospital 4720 Clarendon Road, Chicago, IL 60640-7860 2014-05-22
1336475003 R A Clinic for Psychiatric Care LLC Psychiatric Hospital 3147 Treesdale Ct, Naperville, IL 60564-4609 2009-10-30
1437315017 Northwestern Memorial Hospital Psychiatric Hospital 446 E Ontario St Ste 7-200, Chicago, IL 60611-4418 2008-08-01
1033397138 Springfield Hospital, Inc. Psychiatric Hospital 5230 S 6th Street Rd, Springfield, IL 62703-5128 2008-01-31
1609072313 Mount Sinai Community Foundation Psychiatric Hospital 2040 W Washington Blvd, Chicago, IL 60612-2429 2007-06-21
1417070137 Elmhurst Memorial Guidance Services Psychiatric Hospital 183 North York Road, Elmhurst, IL 60126 2007-04-09
1013017839 Alexian Brothers Behavioral Health Hospital Psychiatric Hospital 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 2006-09-22
1659338168 Aurora Chicago Lakeshore Hospital LLC Psychiatric Hospital 4840 N Marine Dr, Chicago, IL 60640-7860 2006-04-27
Find all providers with the same taxonomy

Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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