Organization
COUNTY OF WHITESIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L LEE (PHA/CEO)
(815) 626-2230
Entity
Organization
Contact information
Practice address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-2231
Mailing address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-2231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
IL
1041C0700X
Clinical Social Worker
—
IL
1223G0001X
General Practice Dentistry
—
IL
207R00000X
Internal Medicine Physician
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371488231001
—
IL
Enumeration date
06/07/2006
Last updated
04/23/2026
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