CHILDRENS ILLINOIS INC NPI 1073283198

NPI Information

NPI: 1073283198
Provider Name: CHILDRENS ILLINOIS INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2122 TROY RD STE 120
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 800-4620
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CHILDRENS ILLINOIS INC is a multi-specialty clinic center in Edwardsville, IL. CHILDRENS ILLINOIS INC NPI is 1073283198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2122 TROY RD STE 120
EDWARDSVILLE, IL
ZIP 62025-540
Phone: (618) 800-4620

The provider's authorized official is Michele Mckee .
The authorized official title is Vice President and has the following contact phone number (314) 454-6044.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2081P0010X	Physical Medicine & Rehabilitation	Pediatric Rehabilitation Medicine	No
2	261QH0700X	Clinic/Center	Hearing and Speech	No
3	261QP2000X	Clinic/Center	Physical Therapy	No
4	261QX0100X	Clinic/Center	Occupational Medicine	No
5	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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