Children's Home (plus) Aid | |
602 James R. Thompson Blvd Building E East St. Louis IL 62201-1129 | |
(618) 874-0216 | |
(618) 874-7340 |
Full Name | Children's Home (plus) Aid |
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Speciality | Community/behavioral Health |
Location | 602 James R. Thompson Blvd, East St. Louis, Illinois |
Authorized Official Name and Position | Mike Shaver (PRESIDENT/CEO) |
Authorized Official Contact | 3124246801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Home (plus) Aid 200 W Monroe St Ste 2100 Chicago IL 60606-5071 Ph: (312) 424-0200 | Children's Home (plus) Aid 602 James R. Thompson Blvd Building E East St. Louis IL 62201-1129 Ph: (618) 874-0216 |
NPI Number | 1023413572 |
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Provider Enumeration Date | 10/27/2014 |
Last Update Date | 07/01/2022 |
Certification Date | 06/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023413572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2B05-IPI-129 (Illinois) | Primary |
253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |