CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS; NPI #1427426055

Contact Information

CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS

138 LINCOLN PLACE CT
SUITE 101
BELLEVILLE, IL 62221-5884

Phone: 618-233-0210
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Case Management	251B00000X

Indicates primary specialty

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NPI Profile & details for CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS

NPI # 1427426055

LBN Legal business name CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS

Authorized official JEANETTE HAEGE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/14/2015

Last updated 10/06/2015 - About 11 years ago

Identifiers

License #

199100130S

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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CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Case Management

NPI Profile & details for CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS

Reviews for CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS