| Doctor Name: | MRS. DANA A D BISCHOFF |
| NPI Number: | 1497713077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CSADC |
| License Number: | 23583 |
| Business Practice Address: | 100 N Main Suite L100 East Peoria, IL - 61611 |
| Business Phone Number: | 3096946462 |
| Business Fax Number: | 3096947812 |
| Mailing Address: | 100 N Main, Suite L100 EAST PEORIA |
| State: | IL |
| Postal Code: | 61611 |
| Phone Number: | 3096946462 |
| Fax Number: | 3096947812 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 23583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |