# CHILDREN'S HOME ASSOCIATION OF ILLINOIS

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

## Provider details

- **NPI number:** 1558858845
- **Authorized official:** AARON MILLER (BILLING ANALYST)
- **Authorized official phone:** (309) 687-7241

## Contact information

- **Practice address:** 7225 W PLANK RD, PEORIA, IL 61604-5252
- **Practice address phone:** (309) 685-1047
- **Practice address fax:** (309) 687-6615
- **Mailing address:** 7225 W PLANK RD, PEORIA, IL 61604-5252
- **Mailing address phone:** (309) 685-1047
- **Mailing address fax:** (309) 687-6615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2B05-IPI-130 | IL | Yes |

## Other

- **Enumeration date:** 04/23/2018
- **Last updated:** 04/23/2018