MEDICARE: CHILDREN'S HOME AND AID

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1518218510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOME AND AID

Provider Business Mailing Address
First Line	:	200 W MONROE ST STE 2100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-5071
Country	:	US
Telephone Number	:	312-424-0200
Fax Number	:	312-464-6884

Provider Business Practice Location Address
First Line	:	901 W JACKSON BLVD
Second Line	:	5TH FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60607-3023
Country	:	US
Telephone Number	:	312-243-0533
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MIKE SHAVER
Credential	:
Telephone Number	:	312-424-6801

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	01/08/2026

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Directions to “CHILDREN'S HOME AND AID ” Practice Location

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