Organization
CHILDRENS HOME AND AID SOCIETY OF ILLINOIS
Active
Other names
Childrens Home and Aid
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHAVER (PRESIDENT/CEO)
(312) 424-6801
Entity
Organization
Contact information
Practice address
403 S STATE ST, BLOOMINGTON, IL 61701-5556
(309) 834-5277
(309) 828-0745
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
004236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236
—
IL
Enumeration date
03/12/2009
Last updated
01/08/2026
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