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Organization

YOUTH SERVICE BUREAU OF ILLINIOS VALLEY

Active
Other names
Youth Service Bureau Of Illinois Valley
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK SERVICE VONCH (EXECUTIVE DIRECTOR)
(815) 433-3953
Entity
Organization

Contact information

Practice address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
28089904
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609835461
IL
Enumeration date
03/21/2006
Last updated
09/20/2022
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