Organization Name: | WHITESIDE COUNTY COMMUNITY HEALTH CLINIC |
NPI Number: | 1528008034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH A FIORINI (PUBLIC HEALTH ADMINISTRATOR/CEO) |
Mailing Address: | 1300 W 2nd St Rock Falls |
State: | IL US |
Postal Code: | 610711005 |
Phone Number: | 8156262230 |
Fax Number: | 8156262231 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |