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General NPI Number Information
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NPI Number | 1497635833
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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 | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 8601 W MAIN ST STE 201
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City | BELLEVILLE
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State | IL
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Zip | 62223-1719
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Country | US
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Telephone | 618-213-8700
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Fax | 618-213-8777
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Provider Business Mailing Address
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Address Line | 8601 W MAIN ST STE 201
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City | BELLEVILLE
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State | IL
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Zip | 62223-1719
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Country | US
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Telephone | 618-213-8700
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Fax | 618-213-8777
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Authorized Official
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Title or Position | QUALITY ASSURANCE MANAGER
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Name | JILLIAN MCCAMMACK-PAULUS
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Credential |
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Telephone | 618-468-1666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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