National Provider Identifier Database

YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Voluntary or Charitable


Contact Information

YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
424 W MADISON ST
OTTAWA, IL61350-2833
Phone: 815-433-3953
Fax: 815-433-3980
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for YOUTH SERVICE BUREAU OF ILLINIOS VALLEY

NPI Number 1609835461
Legal business name
LBN
YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Authorized official FRANK VONCH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/21/2006
Last updated 09/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 28089904
  • IL Medicaid: 1609835461

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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