Organization
CHADDOCK
Active
Organization
CHADDOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PATTON (DIRECTOR OF FINANCE)
(217) 592-0317
Entity
Organization
Contact information
Practice address
921 N 24TH ST, QUINCY, IL 62301-2267
(217) 222-0034
(217) 222-0253
Mailing address
205 S 24TH ST, QUINCY, IL 62301-4446
(217) 222-0034
(217) 222-3865
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
004048-12
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#3A00-IPI-019
—
IL
Enumeration date
08/17/2012
Last updated
09/25/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up