Provider First Line Business Practice Location Address:
PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS
Provider Second Line Business Practice Location Address:
1124 S. SIXTH STREET
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-523-3143
Provider Business Practice Location Address Fax Number:
217-523-7695
Provider Enumeration Date:
07/25/2006