Organization
WESTERN ILLINOIS SERVICE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE FRIEDRICH (CEO PRESIDENT)
(309) 833-1621
Entity
Organization
Contact information
Practice address
509 N LAFAYETTE ST, SUITE 203, MACOMB, IL 61455-7331
(309) 833-1621
(309) 837-1730
Mailing address
509 N LAFAYETTE ST, SUITE 203, MACOMB, IL 61455-7331
(309) 833-1621
(309) 837-1730
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/05/2007
Last updated
08/22/2020
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