Organization
WYELLIS INC
Active
Other names
DEBRA CIASULLI
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRETA DANIEL (BILLING MANAGER)
(815) 450-7100
Entity
Organization
Contact information
Practice address
1607 W COURT ST, KANKAKEE, IL 60901-3216
(815) 450-7100
(815) 401-5821
Mailing address
1607 W COURT ST, KANKAKEE, IL 60901-3216
(815) 450-7100
(815) 401-5821
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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