Illini Christian Ministries Inc in Saint Joseph - Psychologist
Illini Christian Ministries Inc - NPI 1376635078
Illini Christian Ministries Inc is a Psychologist in Saint Joseph, Illinois. Illini Christian Ministries Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Illini Christian Ministries Inc is 1376635078. The last update date is 2010-12-30.
Illini Christian Ministries Inc's current location address is Po Box 200, Saint Joseph, Illinois. You can contact this provider via phone number 2174697566 and fax number 2174692568. The mailing address for Illini Christian Ministries Inc is Po Box 200, Saint Joseph, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illini Christian Ministries Inc |
|---|---|
| Address | Po Box 200, Saint Joseph, Illinois |
| Phone Number | 2174697566 |
| Fax Number | 2174692568 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXEC DIR |
|---|---|
| Authorized Official Name | Kirkman Y Tony |
| Credentials | LCPC |
| Telephone Number | 2174697566 |
NPI Number Detail
| NPI Number | 1376635078 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | Po Box 200 |
|---|---|
| City | Saint Joseph |
| State | Illinois (IL) |
| Post Code | 618730200 |
| Phone Number | 2174697566 |
| Fax Number | 2174692568 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 180000680 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code assigned to Illini Christian Ministries Inc by the Centers for Medicare & Medicaid Services?
The Illini Christian Ministries Inc has been issued the NPI (National Provider Identifier) 1376635078 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Illini Christian Ministries Inc's physical address?
The Illini Christian Ministries Inc is physically located at Po Box 200, in the city of Saint Joseph, IL, with the postal code 618730200.
What is Illini Christian Ministries Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Illini Christian Ministries Inc is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
When was the Illini Christian Ministries Inc's 1376635078 issued?
The Illini Christian Ministries Inc's 1376635078 was issued on 2006-09-29.
When was the information regarding Illini Christian Ministries Inc most recently updated?
The details pertaining to the Illini Christian Ministries Inc, including its address, specialty, and other relevant information, were last refreshed on 2010-12-30.
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