# WABASH CHRISTIAN THERAPY AND MEDICAL CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Wabash Christian Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255755344
- **Authorized official:** TIMOTHY PHILLIPPE (CEO)
- **Authorized official phone:** (217) 732-9651

## Contact information

- **Practice address:** 1112 OAK ST, CARMI, IL 62821-1344
- **Practice address phone:** (217) 732-5155
- **Mailing address:** 622 EMERSON RD, SUITE 310, SAINT LOUIS, MO 63141-6727
- **Mailing address phone:** (217) 732-9651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 12/20/2019