- Practice location
- 410 N 2ND St, Marshall, IL 62441-1010
- Phone
- 866-708-1240
- Fax
- —
- Last updated
- February 9, 2023
Supportive Care Of Illinois PC is a healthcare organization based in Marshall, IL. Supportive Care Of Illinois PC practices in Marshall, IL. The NPI Number for Supportive Care Of Illinois PC is 1861199911. The current practice location address for Supportive Care Of Illinois PC is 410 N 2ND St, Marshall, IL 62441-1010 and can be reached out via phone at 866-708-1240.
Provider Profile Details
- NPI Number
- 1861199911
- Provider Name
- Supportive Care Of Illinois PC
- Provider Entity Type
- Organization
- Address
- 410 N 2ND St, Marshall, IL 62441-1010
- Phone Number
- 866-708-1240
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dov Newmark · Ceo · 718-298-2753
- Provider Enumeration Date
- February 9, 2023
- Last Update Date
- February 9, 2023
- Certification Date
- February 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 410 N 2ND St
Marshall, IL 62441-1010 - City
- Marshall
- State
- Illinois
- Zip
- 62441-1010
- Phone Number
- 866-708-1240
Provider Business Mailing Address Details
- Address
- 27 Randolph RD
Howell, NJ 07731-8611 - City
- Howell
- State
- NJ
- Zip
- 07731-8611
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Marshall, IL
View all Psychologist, Clinical providers in Marshall →Frequently Asked Questions
What is the NPI number of Supportive Care Of Illinois PC?
The NPI number of Supportive Care Of Illinois PC is 1861199911. It was assigned on February 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Supportive Care Of Illinois PC?
Supportive Care Of Illinois PC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Supportive Care Of Illinois PC practice?
The practice location is 410 N 2ND St, Marshall, IL 62441-1010. The office can be reached at 866-708-1240 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861199911 directly on the NPPES registry website.