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Contact Information

EASTVIEW CHRISTIAN CHURCH-COUNSELING CENTER
1500 AIRPORT RD
NORMAL, IL61761-9358
 Phone: 309-451-5020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for EASTVIEW CHRISTIAN CHURCH-COUNSELING CENTER

NPI Number 1164673869
LBN Legal business name EASTVIEW CHRISTIAN CHURCH-COUNSELING CENTER
Authorized official AMY RANDAZZO - (ACCOUNTING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2008
Last updated 10/01/2008 - About 18 years ago
Identifiers
IL License # 180-005335
IL License # 180-006520
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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