Organization
ILLINOIS VALLEY BRAIN INJURY CLUBHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA CARTER (DIRECTOR)
(815) 672-3000
Entity
Organization
Contact information
Practice address
509 E BROADWAY ST, STREATOR, IL 61364-2304
(815) 672-3000
Mailing address
509 E BROADWAY ST, STREATOR, IL 61364-2304
(815) 672-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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