IndividualActive
Nicholas Birch
NPI 1881368389 · Community/Behavioral Health Agency · Rantoul, IL
Provider details
- NPI number
- 1881368389
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
421 E Wabash Ave
Rantoul, IL 61866-3012
Phone: (217) 649-9827
Approximate (ZIP-level) locationGet directions
Mailing address
421 E Wabash Ave
Rantoul, IL 61866-3012
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2025-09-11
- Certified
- 2021-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.