| Chaddock | |
|
2272 Chestnut St Quincy IL 62301-2215 | |
| (217) 222-0034 | |
| Not Available |
| Full Name | Chaddock |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2272 Chestnut St, Quincy, Illinois |
| Authorized Official Name and Position | Kristen Patton (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 2172220034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaddock 205 S 24th St Quincy IL 62301-4446 Ph: () - | Chaddock 2272 Chestnut St Quincy IL 62301-2215 Ph: (217) 222-0034 |
| NPI Number | 1225443880 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 06/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225443880 | NPI | - | NPPES |
| 3A00-IPI-019 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 004048-12 (Illinois) | Primary |
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