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 1578808689

Youth Service Bureau of Illinois Valley is a Community/Behavioral Health Agency in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2

Practice location Address checks out

308 W State St
Rockford, IL 61101-1117
Phone: (815) 316-1977
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 1041C0700X (IL)

Record details

NPI number1578808689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Gustafson — Treatment Coordinator · (815) 433-3953
NPI enumeratedNovember 29, 2012
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address424 W Madison St, Ottawa, IL 61350-2833

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