Organization
ASSOCIATES IN MENTAL HEALTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD EMIL COLEN MD (PARTNER)
(309) 637-4266
Entity
Organization
Contact information
Practice address
900 MAIN ST, SUITE 580, PEORIA, IL 61602-1005
(309) 637-4266
(309) 637-9836
Mailing address
900 MAIN ST, SUITE 580, PEORIA, IL 61602-1005
(309) 637-4266
(309) 637-9836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07200526
BLUE CROSS BLUE SHIELD
IL
01
—
319975
VALUE OPTIONS
IL
01
—
CN0459
RAILROAD MEDICARE
IL
Enumeration date
12/13/2006
Last updated
09/11/2025
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