Jerome Przystup is a Mental Health in Mattoon, Illinois. Jerome Przystup practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerome Przystup is 1942488390. The last update date is 2008-02-07.
Jerome Przystup's current location address is 750 Broadway Ave E, Mattoon, Illinois. You can contact this provider via phone number 2172385700 and fax number 2172385767. The mailing address for Jerome Przystup is 750 Broadway Ave E, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Przystup |
|---|---|
| Address | 750 Broadway Ave E, Mattoon, Illinois |
| Phone Number | 2172385700 |
| Fax Number | 2172385767 |
| Sole Proprietor | N |
| Credentials | B.A. |
NPI Number Detail
| NPI Number | 1942488390 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 750 Broadway Ave E |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384610 |
| Phone Number | 2172385700 |
| Fax Number | 2172385767 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Jerome Przystup's unique identification number?
The Jerome Przystup has been assigned the NPI (National Provider Identifier) Number 1942488390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jerome Przystup's facilities are situated?
The facilities of Jerome Przystup are physically located at the following address: 750 Broadway Ave E, Mattoon, IL, 619384610.
What is the Jerome Przystup's specialty and taxonomy code?
The Jerome Przystup's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Jerome Przystup receive the assignment of its 1942488390 from the Centers for Medicare & Medicaid Services?
The Jerome Przystup was issued its 1942488390 by the Centers for Medicare & Medicaid Services on 2008-02-07.
As of what date were the details pertaining to Jerome Przystup last refreshed?
The information related to the Jerome Przystup, including its address, specialty, and other relevant details, was last updated on 2008-02-07.