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General NPI Number Information
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NPI Number | 1477405785
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOME & AID SOCIETY OF AMERICA
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 424 7TH ST
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City | ROCKFORD
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State | IL
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Zip | 61104-1259
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Country | US
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Telephone | 815-962-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W MONROE ST STE 2100
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City | CHICAGO
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State | IL
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Zip | 60606-5071
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Country | US
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Telephone | 312-424-0200
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Fax | 312-242-6800
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MIKE SHAVER
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Credential |
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Telephone | 312-424-6801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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