Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SIEBERT (DIRECTOR OF COMPLIANCE)
(309) 687-7440
Entity
Organization
Contact information
Practice address
7225 W PLANK RD, PEORIA, IL 61604-5252
(309) 685-1047
Mailing address
7225 W PLANK RD, PEORIA, IL 61604-5252
(309) 685-1047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2B05-IPI-130
IL
Other
Enumeration date
10/24/2012
Last updated
04/11/2025
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