Organization
UNITED CEREBRAL PALSY OF SOUTHERN ILLINOIS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HALE (EXECUTIVE DIRECTOR)
(618) 244-2505
Entity
Organization
Contact information
Practice address
9 CUSUMANO PROFESSIONAL PLAZA DR, MOUNT VERNON, IL 62864-6736
(618) 244-2505
(618) 244-3568
Mailing address
9 CUSUMANO PROFESSIONAL PLAZA DR, MOUNT VERNON, IL 62864-6736
(618) 244-2505
(618) 244-3568
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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