Youth Service Bureau of Illinios Valley

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

28089904 Issued in IL

Legal business name

YOUTH SERVICE BUREAU OF ILLINIOS VALLEY

Doing business as

Youth Service Bureau Of Illinois Valley

Practice address

424 W Madison St
Ottawa, IL 61350-2833

Phone

(815) 433-3953

Fax

(815) 433-3980

NPI assigned

Mar 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Frank Service Vonch

Title

Executive Director

Phone

(815) 433-3953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Youth Service Bureau Of Illinois Valley Doing business as

Electronic endpoints 1

Tax ID family

Youth Service Bureau of Illinois Valley8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Youth Service Bureau of Illinios Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princeton, IL
  • NPI 1083462352
  NPD tax ID
• Youth Service Bureau of Illinios Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peru, IL
  • NPI 1124748546
  NPD tax ID
• Youth Service Bureau of Illinios Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Streator, IL
  • NPI 1831917095
  NPD tax ID
• Youth Service Bureau of Illinois Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, IL
  • NPI 1164757266
  NPD tax ID
• Youth Service Bureau of Illinois Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princeton, IL
  • NPI 1326357344
  NPD tax ID
• Youth Service Bureau of Illinois Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1578808689
  NPD tax ID
• Youth Service Bureau of Illinois Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1750626966
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1609835461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W MADISON ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502833",
            "telephone_number": "815-433-3953",
            "fax_number": "815-433-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W MADISON ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502833",
            "telephone_number": "815-433-3953",
            "fax_number": "815-433-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICE BUREAU OF ILLINIOS VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "VONCH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "SERVICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-433-3953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": "28089904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609835461",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanier@ysbiv.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "stephanier@ysbiv.org",
            "address_1": "424 W Madison St",
            "city": "Ottawa",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613502833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Youth Service Bureau Of Illinois Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Wisniewski, ATC
• Womens Healthcare Partners of Illinois
• Robert Lincoln Woodruff, ATC
• William Lawrence Wrobel, DDS
• Bradley Yates, ATC
• Youth Service Bureau of Illinois Valley
• Mary E Yuhas, MS, CCC-SLP
• Jillian Dee Zepeda, DT

• Voluntary or Charitable Agency in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.