Organization
CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS
Active
Organization
CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HAEGE (EXECUTIVE DIRECTOR)
(618) 233-0210
Entity
Organization
Contact information
Practice address
138 LINCOLN PLACE CT, SUITE 101, BELLEVILLE, IL 62221-5884
(618) 233-0210
Mailing address
138 LINCOLN PLACE CT, SUITE 101, BELLEVILLE, IL 62221-5884
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199100130S
IL
Other
Enumeration date
09/14/2015
Last updated
10/06/2015
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