Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE SIEBERT (DIRECTOR OF COMPLIANCE)
(309) 687-7440
Entity
Organization
Contact information
Practice address
311 W JOHN H GWYNN JR AVE, PEORIA, IL 61605-2566
(309) 687-7774
Mailing address
2130 N KNOXVILLE AVE, PEORIA, IL 61603-2460
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
04/11/2025
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