Provider Profile Claim

Claim Provider Profile

Illinois Department OF Human Services

Centralia, IL Unclaimed

Submit your NPI number to verify and claim this organization. We’ll confirm your details and send account setup instructions.

NPI Number *

Email *

We’ll use this to send verification and account setup details.

Organization / Practice Name *

Contact First Name *

Contact Last Name *

Business Phone

Street Address

Address 2 / Suite

City

State

ZIP Code

Primary Specialty

License Number

NPI

1003960394
Name

Illinois Department OF Human Services
Account Contact

Debra Muhlstadt
Address

1535 W MCCORD ST, CENTRALIA, IL, 62801-5805
Phone

618-532-1811
Specialties

Residential Treatment Facility, Intellectual And/or Developmental Disabilities Intermediate Care Facility, Intellectual Disabilities
NPPES Last Updated

2016-12-22

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