# CHILDREN'S HOME ASSOCIATION OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134355092
- **Authorized official:** JULIE SIEBERT (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (309) 687-7440

## Contact information

- **Practice address:** 613 E. FRYE, PEORIA, IL 61603
- **Practice address phone:** (309) 687-7102
- **Mailing address:** 2130 N. KNOXVILLE AVE, PEORIA, IL 61603
- **Mailing address phone:** (309) 685-1047
- **Mailing address fax:** (309) 687-7299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 04/11/2025