Organization
WESTERN ILLINOIS UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MARGARET HARRIS M.S.. (DIRECTOR)
(309) 298-1888
Entity
Organization
Contact information
Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(309) 298-1888
(309) 298-2188
Mailing address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(309) 298-1888
(309) 298-2188
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180000305
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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