Healthcare Provider Details

I. General information

NPI: 1245454313
Provider Name (Legal Business Name): JOHN DAY & ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 W BRIGHTON
PEORIA IL
61615-2938
US

IV. Provider business mailing address

3716 W BRIGHTON
PEORIA IL
61615-2938
US

V. Phone/Fax

Practice location:
  • Phone: 309-692-7755
  • Fax: 309-692-2262
Mailing address:
  • Phone: 309-692-7755
  • Fax: 309-692-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. LUKE R DALFIUME
Title or Position: CO OWNER
Credential: PHD
Phone: 309-692-7755