Healthcare Provider Details

I. General information

NPI: 1376719096
Provider Name (Legal Business Name): CHILDRENS HOME AND AID
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W MONROE ST STE 2100
CHICAGO IL
60606-5071
US

IV. Provider business mailing address

200 W MONROE ST STE 2100
CHICAGO IL
60606-5071
US

V. Phone/Fax

Practice location:
  • Phone: 312-424-6800
  • Fax: 312-424-6800
Mailing address:
  • Phone: 312-424-6800
  • Fax: 312-424-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MIKE SHAVER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 312-424-6801