IROQUOIS MENTAL HEALTH CENTER (NPI# 1164972246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164972246 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MENTAL HEALTH CENTER |
| Practice Address |
25711 S Egyptian Trl Monee IL 60449-8118 |
| Mailing Address |
323 W Mulberry St Po Box 322 Watseka IL 60970-1568 |
| Practice Telephone | 8154325241 |
| Practice Fax Number | 8154324537 |
| Mailing Telephone | 8154325241 |
| Mailing Fax Number | 8154324537 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | DR. DENNIS P. HOPKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8154325241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649774225 | Iroquois Mental Health Center | Community/Behavioral Health | 1137 E 5000n Rd Ste K, Bourbonnais, IL 60914-4229 | 2018-03-20 |
| 1780188367 | Iroquois Mental Health Center | Community/Behavioral Health | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-20 |
| 1023568102 | Iroquois Mental Health Center | Clinic/Center | 107 N. 4th Street, Sheldon, IL 60966 | 2016-10-12 |
| 1609326792 | Iroquois Mental Health Center | Clinic/Center | 141 W Garfield Ave, Cissna Park, IL 60924-6128 | 2016-10-12 |
| 1467820845 | Iroquois Mental Health Center | Community/Behavioral Health | 619 N Chicago St, Rossville, IL 60963-1012 | 2015-09-02 |
| 1932470606 | Iroquois Mental Health Center | Community/Behavioral Health | 200 S. Locust St., Loda, IL 60948 | 2012-01-26 |
| 1902186414 | Iroquois Mental Health Center | Community/Behavioral Health | 107 N. Fourth Street, Sheldon, IL 60966 | 2011-08-29 |
| 1811277320 | Iroquois Mental Health Center | Community/Behavioral Health | 141 West Garfield Ave, Cissna Park, IL 60924 | 2011-08-29 |
| 1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
| 1336617869 | Iroquois Mental Health Center | Substance Abuse Rehabilitation Facility | 411 W Division St, Manteno, IL 60950-1065 | 2018-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IROQUOIS MENTAL HEALTH CENTER | 323 W Mulberry St, Watseka, IL 60970-1568 |
| Street Address |
25711 S EGYPTIAN TRL |
| City | MONEE |
| State | IL |
| Zip Code | 60449-8118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346277480 | Laura Marie Healy | Nurse Practitioner | 25711 S Egyptian Trl, Monee, IL 60449 | 2006-06-26 |
| 1568811487 | Iroquois Mental Health Center | Community/Behavioral Health | 25711 S Egyptian Trl, Monee, IL 60449-8118 | 2016-06-10 |
| 1184942104 | Cynthia Decamp Croyle | Nurse Practitioner | 25711 S Egyptian Trl, Monee, IL 60449-8118 | 2010-05-14 |
| 1336474782 | Midwestern Internal Medicine Associates. | Internal Medicine | 25711 S Egyptian Trl, Monee, IL 60449-8118 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679642 | Esperanza Camacho | Registered Nurse | 25841 Geranium Lane, Monee, IL 60449 | 2014-04-15 |
| 1992731756 | Monee Fire Protection District | Ambulance | 5500 W Main St, Monee, IL 60449 | 2006-06-23 |
| 1952697310 | Will County Health Department | Clinic/Center | 5601 W Monee Manhattan Rd, Suite 107-110, Monee, IL 60449 | 2011-06-23 |
| 1740534098 | Gregory M Brown Dpm PC | Podiatrist | 4550 W Iris Ln, Monee, IL 60449-4401 | 2012-11-07 |
| 1891285102 | Mary Victoria Wessels | Behavior Technician | 25748 S Kensington Ln, Monee, IL 60449-7220 | 2018-05-11 |
| 1174702583 | Jessica Ann Bloom | Specialist | 5617 W Von Ave Unit C, Monee, IL 60449-7917 | 2007-11-01 |
| 1568917318 | Danielle Kowach | Social Worker | 5310 W Court St, Monee, IL 60449-8061 | 2016-08-22 |
| 1538413604 | Renee J Davis | Massage Therapist | 26011 Compass Rd, Monee, IL 60449-8077 | 2012-10-29 |
| 1285967570 | Lara Marie Speroff | Behavioral Analyst | 25915 Derby Dr, Monee, IL 60449-8085 | 2009-09-17 |
| 1104466770 | Alyssa Gorecki | Specialist/Technologist | 24761 S Scheer Rd, Monee, IL 60449-8303 | 2020-01-13 |
| Find all providers in zip 60449 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 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.