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Organization

CHILDREN'S HOME ASSOCIATION OF ILLINOIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AARON MILLER (DIRECTOR OF COMPLIANCE)
(309) 687-7001
Entity
Organization

Contact information

Practice address
311 W JOHN H GWYNN JR AVE, PEORIA, IL 61605-2566
(309) 685-1047
(309) 685-1047
Mailing address
311 W JOHN H GWYNN JR AVE, PEORIA, IL 61605-2566
(309) 685-1047

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/15/2025
Last updated
08/15/2025
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