DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTIAN SOCIAL SERVICES OF ILLINOIS

MEDICARE: CHRISTIAN SOCIAL SERVICES OF ILLINOIS
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
1253J00000XFoster Care Agency003976-12IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21942527536OTHERILTYPE 2-ORGANIZATION
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598031700
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN SOCIAL SERVICES OF ILLINOIS
Provider Business Mailing Address
First Line : 8601 W MAIN ST
Second Line : SUITE 201
City : BELLEVILLE
State : IL
Zip : 62223-1719
Country : US
Telephone Number : 618-394-5900
Fax Number : 618-394-5909
Provider Business Practice Location Address
First Line : 214 S UNIVERSITY AVE
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-2925
Country : US
Telephone Number : 618-351-0743
Fax Number : 618-351-0945
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. GARY R HUELSMANN
Credential : MSW
Telephone Number : 618-394-5900
Provider Enumeration Date : 04/02/2012
Last Update Date : 05/17/2012

Similar Medicare Providers

1215807797 — MRS. DOMINEAK SHANTA MILLER DOULA
Practice Location Address:
212 S UNIVERSITY AVE
CARBONDALE, IL
62901-2925
Practice Phone: 773-655-8103
Practice Fax:
1942370051 — MS. JUDY A. ASHBY MS LCPC
Practice Location Address:
214 S UNIVERSITY AVE
CARBONDALE, IL
62901-2925
Practice Phone: 618-351-0743
Practice Fax: 618-351-0945
1659428845 — MRS. CHRISTINA OKPO UMANA MS NCC LPC AMFT
Practice Location Address:
214 S UNIVERSITY AVE
CARBONDALE, IL
62901-2925
Practice Phone: 618-351-0743
Practice Fax: 618-351-0945
1467519652 — MRS. KAREN ANN HENDERSON MSW, LCSW
Practice Location Address:
214 S UNIVERSITY AVE
CARBONDALE, IL
62901-2925
Practice Phone: 618-351-0743
Practice Fax:
1073842423 — MS. JENNIFER ARI ROSE AMFT LPC
Practice Location Address:
214 S UNIVERSITY AVE
CARBONDALE, IL
62901-2925
Practice Phone: 618-351-0743
Practice Fax: 618-351-0945
1104156439 — CATHOLIC SOCIAL SERVICES CARBONDALE
Practice Location Address:
214 S UNIVERSITY AVE
CARBONDALE, IL
62901-2925
Practice Phone: 618-351-0743
Practice Fax: 618-351-0945

Directions to “CHRISTIAN SOCIAL SERVICES OF ILLINOIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.