| Human Service Center | |
|
228 Ne Jefferson Peoria IL 61603 | |
| (309) 671-8000 | |
| (309) 671-4695 |
| Full Name | Human Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 228 Ne Jefferson, Peoria, Illinois |
| Authorized Official Name and Position | Michael Kennedy (PRESIDENT/CEO) |
| Authorized Official Contact | 3096718005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Service Center Po Box 1346 Peoria IL 61654-1346 Ph: (309) 671-8000 | Human Service Center 228 Ne Jefferson Peoria IL 61603 Ph: (309) 671-8000 |
| NPI Number | 1881630689 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 12/12/2017 |
| Medicare PECOS PAC ID | 6901896968 |
|---|---|
| Medicare Enrollment ID | O20040513000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881630689 | NPI | - | NPPES |
| 580 | Other | IL | BCBS |
| 036094197 | Medicaid | IL | |
| 036088236 | Medicaid | IL | |
| 036060238 | Medicaid | IL |
| Provider Name | Thembi A Conner-garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629092226 PECOS PAC ID: 3870499536 Enrollment ID: I20031211000973 |
| Provider Name | Sharon T Tear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538138318 PECOS PAC ID: 4688628365 Enrollment ID: I20050304000753 |
| Provider Name | Narayana Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306880281 PECOS PAC ID: 7810060167 Enrollment ID: I20080718000477 |
| Provider Name | Robert Allan Lizer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1184624280 PECOS PAC ID: 5496870651 Enrollment ID: I20100913000462 |
| Provider Name | George K Shotick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104941657 PECOS PAC ID: 5395913446 Enrollment ID: I20110718000115 |
| Provider Name | James P Ausfahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518058619 PECOS PAC ID: 6406024983 Enrollment ID: I20110728000156 |
| Provider Name | Kelly C Mckenna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982723250 PECOS PAC ID: 8325336480 Enrollment ID: I20161005002835 |
| Provider Name | John Voris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790125193 PECOS PAC ID: 7315268109 Enrollment ID: I20161025001149 |
| Provider Name | Holly C Conlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528584257 PECOS PAC ID: 4486911682 Enrollment ID: I20171127000386 |
| Provider Name | Krystyn M Gunther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588013783 PECOS PAC ID: 7517210941 Enrollment ID: I20181031002412 |
| Provider Name | Suparna Basu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679719777 PECOS PAC ID: 5890938872 Enrollment ID: I20181205003606 |
| Provider Name | Jonathan W Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427603935 PECOS PAC ID: 2769812098 Enrollment ID: I20200428001487 |
| Provider Name | Mariam F Aboukar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013448620 PECOS PAC ID: 1456623404 Enrollment ID: I20200616003027 |
| Provider Name | Joseph M Babione |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417575853 PECOS PAC ID: 4082034392 Enrollment ID: I20201026000589 |
| Provider Name | Zaki Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285172239 PECOS PAC ID: 5698175271 Enrollment ID: I20210618001148 |
| Provider Name | Kira M Furkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164196648 PECOS PAC ID: 1557751955 Enrollment ID: I20211129000719 |
| Provider Name | Jalisa N Smith-jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659015451 PECOS PAC ID: 2466830740 Enrollment ID: I20220526002342 |
| Provider Name | Caleb M Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730649112 PECOS PAC ID: 6507228277 Enrollment ID: I20230811001167 |
| Provider Name | Susan Sarita Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821877010 PECOS PAC ID: 8628426152 Enrollment ID: I20231122001077 |
| Provider Name | Robert John Mooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013975648 PECOS PAC ID: 7618312042 Enrollment ID: I20240226001704 |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Meredith Messina Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 N Sterling Ave Ste 300a, Peoria, IL 61615 Phone: 309-323-0032 |