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NPI Code Detail

MEDICARE: CHRIST COMMUNITY CHURCH

MEDICARE: CHRIST COMMUNITY CHURCH
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
1101YP2500XProfessional Counselor180001535IL

General Provider Information

NPI Number : 1952563173
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRIST COMMUNITY CHURCH
Provider Business Mailing Address
First Line : 1719 S EUCLID AVE
Second Line :
City : PRINCETON
State : IL
Zip : 61356-2636
Country : US
Telephone Number : 815-879-3227
Fax Number : 815-875-8780
Provider Business Practice Location Address
First Line : 1719 S EUCLID AVE
Second Line :
City : PRINCETON
State : IL
Zip : 61356-2636
Country : US
Telephone Number : 815-879-3227
Fax Number : 815-875-8780
Authorized Official
Title or Position : PROVIDER
Name : MS. MARGARET M MURPHEY
Credential : LCPC
Telephone Number : 815-879-3227
Provider Enumeration Date : 06/29/2008
Last Update Date : 12/01/2016

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Directions to “CHRIST COMMUNITY CHURCH ” Practice Location

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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.

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