National Provider Identifier Database

FAMILY SERVICE OF CHAMPAIGN COUNTY
Voluntary or Charitable


Contact Information

FAMILY SERVICE OF CHAMPAIGN COUNTY
405 S STATE ST
CHAMPAIGN, IL61820-5129
Phone: 217-352-0099
Fax: 217-352-9512
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for FAMILY SERVICE OF CHAMPAIGN COUNTY

NPI Number 1750547808
Legal business name
LBN
FAMILY SERVICE OF CHAMPAIGN COUNTY
Authorized official LINDA WHITLER - (CLINICAL THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 07/29/2008
Last updated 07/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 180.004632

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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