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General NPI Number Information
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NPI Number | 1346107810
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Entity Type | Organization
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Legal Business Name | CHRISTIAN SOCIAL SERVICES OF ILLINOIS
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 988 N ILLINOIS ROUTE 3
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City | WATERLOO
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State | IL
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Zip | 62298-1000
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Country | US
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Telephone | 618-939-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 146
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City | WATERLOO
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State | IL
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Zip | 62298-0146
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Country | US
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Telephone | 618-939-4444
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | MELISSA JONES
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Credential |
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Telephone | 618-939-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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