Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Other names
Iroquois Memorial Hospital and Resident Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J TILSTRA (CEO/PRESIDENT)
(815) 432-7777
Entity
Organization
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
0001107
IL
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080050A
—
IN
Enumeration date
02/05/2008
Last updated
04/10/2026
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