Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SIEBERT (DIRECTOR OF COMPLIANCE)
(390) 685-1047
Entity
Organization
Contact information
Practice address
404 NE MADISON AVE, PEORIA, IL 61603-3720
(309) 685-1047
(309) 687-7299
Mailing address
2130 N KNOXVILLE AVE, PEORIA, IL 61603-2460
(309) 685-1047
(390) 687-7299
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-IPI-130
—
IL
Enumeration date
04/12/2017
Last updated
04/11/2025
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