Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Youth Service Bureau of Illinois Valley

Organization Community/Behavioral Health Agency · NPI 1164757266

Youth Service Bureau of Illinois Valley is a Community/Behavioral Health Agency in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
3

Practice location Address checks out

424 W Madison St
Ottawa, IL 61350-2833
Phone: (815) 433-3953
Fax: (815) 433-3980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 149.013808 (IL)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 1041C0700X (IL)

Record details

NPI number1164757266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Gustafson — Treatment Coordinator · (815) 431-3022
NPI enumeratedOctober 7, 2009
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address424 W Madison St, Ottawa, IL 61350-2833

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