Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Other names
Choate Mental Health & Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MUCKLEY (FACILITY DIRECTOR)
(618) 833-5161
Entity
Organization
Contact information
Practice address
1000 N MAIN ST, ANNA, IL 62906-1652
(618) 833-5161
Mailing address
1000 N MAIN ST, ANNA, IL 62906-1652
(618) 833-5161
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8029001
—
IL
Enumeration date
08/28/2006
Last updated
08/21/2012
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