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General NPI Number Information
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NPI Number | 1497288096
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA OF ILLINOIS
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 47 W POLK ST SUITE 250
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City | CHICAGO
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State | IL
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Zip | 60605-2000
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Country | US
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Telephone | 312-564-2300
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Fax | 312-564-2301
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Provider Business Mailing Address
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Address Line | 47 W POLK ST SUITE 250
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City | CHICAGO
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State | IL
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Zip | 60605-2000
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Country | US
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Telephone | 312-564-2300
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Fax | 312-564-2301
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | NANCY HUGHES MOYER
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Credential | MSW
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Telephone | 312-564-2310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 021329
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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