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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
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 |
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 |
Street Address |
4402 N MAIN ST |
City | ROCKFORD |
State | IL |
Zip Code | 61103-1278 |
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 |
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 Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861546699 | Singer Mental Health Center | Psychiatric Hospital | 4402 N Main St, Rockford, IL 61103-1278 | 2007-01-22 |
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 |
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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.