Organization
CHILDRENS HOME & AID SOC OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHAVER (PRESIDENT/CEO)
(312) 424-6801
Entity
Organization
Contact information
Practice address
907 MARTIN LUTHER KING DR, SUITE C, EAST SAINT LOUIS, IL 62201-1704
(618) 874-0216
Mailing address
200 W MONROE ST STE 2100, CHICAGO, IL 60606-5071
(312) 424-0200
(312) 424-6884
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
01/08/2026
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