MEDICARE: IROQUOIS MENTAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1619427796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IROQUOIS MENTAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	323 W MULBERRY ST
Second Line	:	PO BOX 322
City	:	WATSEKA
State	:	IL
Zip	:	60970-1568
Country	:	US
Telephone Number	:	815-432-5241
Fax Number	:	815-432-4537

Provider Business Practice Location Address
First Line	:	380 W NORTH ST
Second Line	:
City	:	MANHATTAN
State	:	IL
Zip	:	60442-9839
Country	:	US
Telephone Number	:	815-432-5241
Fax Number	:	815-432-4537

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. DENNIS P. HOPKINS
Credential	:
Telephone Number	:	815-432-5241

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	12/14/2016

Similar Medicare Providers

1518854710 — NESREEN RAHMAN
Practice Location Address:

380 W NORTH ST
MANHATTAN, IL
60442-9839

Practice Phone: 815-802-0077
Practice Fax:

1518971167 — ANNE DOROBA MD
Practice Location Address:

380 W NORTH ST
MANHATTAN, IL
60442-9839

Practice Phone: 815-478-4891
Practice Fax: 815-478-5498

1972955177 — IROQUOIS MENTAL HEALTH CENTER
Practice Location Address:

380 W NORTH ST
MANHATTAN, IL
60442-9839

Practice Phone: 815-432-5241
Practice Fax:

1013672682 — HANNAH THERESA MATVIKO FNP-C
Practice Location Address:

380 W NORTH ST
MANHATTAN, IL
60442-9839

Practice Phone: 815-802-0077
Practice Fax: 815-418-3005

1902880057 — DR. JEFFREY MICHAEL PIETRZYK OD
Practice Location Address:

540 W NORTH ST , SUITE 209
MANHATTAN, IL
60442-8201

Practice Phone: 815-478-0100
Practice Fax: 815-478-9100

1083677504 — CHRISTA D PIETRZYK O.D.
Practice Location Address:

540 W NORTH ST , SUITE 209
MANHATTAN, IL
60442-8201

Practice Phone: 815-478-0100
Practice Fax: 815-478-9100

Directions to “IROQUOIS MENTAL HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.