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TEN BROECK TENNESSEE PHYSICIANS GROUP INC
NPI 1518543248
Clinic/Center - Adult Mental Health in Princeton, IL

Active since March 23, 2021
530 PARK AVE E, PRINCETON, IL 61356(815) 876-2004(815) 876-2008 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ten Broeck Tennessee Physicians Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEN BROECK TENNESSEE PHYSICIANS GROUP INC (NPI 1518543248), doing business as Senior Behavioral Wellness, is a healthcare organization registered as an adult mental health in Princeton, Illinois and active in the NPI registry since March 2021. The organization lists Karissa Hutson, Business Office, as its authorized official.

NPPES Registry Identity

NPI1518543248
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTEN BROECK TENNESSEE PHYSICIANS GROUP INC
Location Address530 PARK AVE EPrinceton, IL 61356-3901
Mailing Address530 Park Ave EPrinceton, IL 61356-3901 · (815) 876-2004 · Fax (815) 876-2008
Phone(815) 876-2004
Fax(815) 876-2008
Organization SubpartNo
Authorized OfficialKarissa HutsonBusiness Office · (931) 319-4231
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1518543248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
530 PARK AVE E, Princeton, IL 61356
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Other Names 1

Doing Business AsSenior Behavioral Wellness

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA K AUSTIN
Physical Therapist
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 876-4494
ALAN DUMONTIER MD
Emergency Medicine
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (904) 805-1300
OSF HEALTHCARE SYSTEM
General Acute Care Hospital (Critical Access)
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-2811
KETAN R PATEL
Internal Medicine
530 PARK AVE E, SUITE 101
PRINCETON, IL 61356
Bureau County (815) 872-1221
KETAN PATEL MD
Internal Medicine
530 PARK AVE E, STE 101
PRINCETON, IL 61356
Bureau County (815) 872-1221
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-2811
PRINCETON EMERGENCY SERVICES, LLC
Nurse Practitioner
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-2811
LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD
Clinic/Center
530 PARK AVE E, SUITE 205
PRINCETON, IL 61356
Bureau County (815) 872-9491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ten Broeck Tennessee Physicians Group Inc's NPI number?

The NPI number for Ten Broeck Tennessee Physicians Group Inc is 1518543248. It was assigned to this organization in the NPPES registry on March 23, 2021. The provider is doing business as Senior Behavioral Wellness.

Where is Ten Broeck Tennessee Physicians Group Inc located?

Ten Broeck Tennessee Physicians Group Inc is located at 530 Park Ave E, Princeton, IL 61356. The listed phone number is (815) 876-2004.

What is Ten Broeck Tennessee Physicians Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Ten Broeck Tennessee Physicians Group Inc was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.