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Contact Information

ILLINI CHRISTIAN MINISTRIES INC
204 N MAIN ST
SUITE 203
SAINT JOSEPH, IL61873
 Phone: 217-469-7566
 Fax: 217-469-2568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ILLINI CHRISTIAN MINISTRIES INC · (Female)

NPI # 1376635078
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2006
Last updated 12/30/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 178003791
  • IL License # 180000680
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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