Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD YUNUS (HOSPITAL ADMINISTRATOR)
(815) 987-7778
Entity
Organization
Contact information
Practice address
4402 N MAIN ST, ROCKFORD, IL 61103-1278
(815) 987-7103
(815) 987-7688
Mailing address
4402 N MAIN ST, ROCKFORD, IL 61103-1278
(815) 987-7103
(815) 987-7688
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/05/2005
Last updated
04/08/2008
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