| Whiteside County Community Health Clinic | |
|
1300 W 2nd St Rock Falls IL 61071-1005 | |
| (815) 626-2230 | |
| (815) 626-2231 |
| Full Name | Whiteside County Community Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 W 2nd St, Rock Falls, Illinois |
| Authorized Official Name and Position | Beth A Fiorini (PUBLIC HEALTH ADMINISTRATOR/CEO) |
| Authorized Official Contact | 8156262230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiteside County Community Health Clinic 1300 W 2nd St Rock Falls IL 61071-1005 Ph: (815) 626-2230 | Whiteside County Community Health Clinic 1300 W 2nd St Rock Falls IL 61071-1005 Ph: (815) 626-2230 |
| NPI Number | 1528008034 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 4587673835 |
|---|---|
| Medicare Enrollment ID | O20060413000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528008034 | NPI | - | NPPES |
| Provider Name | Darrin G Vits |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164502001 PECOS PAC ID: 0042280661 Enrollment ID: I20040729001110 |
| Provider Name | Parveen K Varma |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013082551 PECOS PAC ID: 8022077692 Enrollment ID: I20041008000262 |
| Provider Name | Robert A Whittaker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1821178617 PECOS PAC ID: 1951425487 Enrollment ID: I20100903000785 |
| Provider Name | Denice N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134171085 PECOS PAC ID: 7810954138 Enrollment ID: I20170426000590 |
| Provider Name | Olivia M Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568844652 PECOS PAC ID: 6608180914 Enrollment ID: I20190814000580 |
| Provider Name | Kathryn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073138467 PECOS PAC ID: 1658785621 Enrollment ID: I20210203000023 |
| Provider Name | Brooke Bruketta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467863878 PECOS PAC ID: 3375919384 Enrollment ID: I20221017001307 |
| Provider Name | Andrea Engelkens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841330669 PECOS PAC ID: 6709221245 Enrollment ID: I20240223003530 |
| Provider Name | Lisa Framke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225347578 PECOS PAC ID: 8921444845 Enrollment ID: I20240313002378 |
| Provider Name | Briena Wyckstandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891461760 PECOS PAC ID: 7214374800 Enrollment ID: I20240321002517 |
| Provider Name | Carrie Mahar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821363789 PECOS PAC ID: 5294174280 Enrollment ID: I20240424000894 |
| Provider Name | David A Lee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740044882 PECOS PAC ID: 9234677014 Enrollment ID: I20240812001113 |
| Provider Name | Dawn Stewart-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215554746 PECOS PAC ID: 7618400177 Enrollment ID: I20241023001840 |
The Recovery Zone Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 1st Ave, Suite A, Rock Falls, IL 61071 Phone: 815-626-2800 |