Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MILLER (BILLING ANALYST)
(309) 687-7241
Entity
Organization
Contact information
Practice address
7225 W PLANK RD, PEORIA, IL 61604-5252
(309) 685-1047
(309) 687-6615
Mailing address
7225 W PLANK RD, PEORIA, IL 61604-5252
(309) 685-1047
(309) 687-6615
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2B05-IPI-130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-IPI-130
—
IL
Enumeration date
04/23/2018
Last updated
04/23/2018
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