Provider Demographics
NPI:1497071187
Name:CATHOLIC CHARITIES - DIOCESE OF ROCKFORD, IL.
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES - DIOCESE OF ROCKFORD, IL.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIOCESAN DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:VONCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-399-4300
Mailing Address - Street 1:555 COLMAN CENTER DR. - PO BOX 7044
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61125
Mailing Address - Country:US
Mailing Address - Phone:815-399-4300
Mailing Address - Fax:814-399-6303
Practice Address - Street 1:5141 BULL VALLEY RD
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-7431
Practice Address - Country:US
Practice Address - Phone:815-344-6956
Practice Address - Fax:815-344-7869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL003972-12253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency