Whalio Doctors

NPI 1598031700

Christian Social Services of Illinois

Organisation Foster Care Agency Carbondale, IL

Practice location

Address
214 S University Ave, Carbondale, IL 62901-2925
Phone
(618) 351-0743
Fax
(618) 351-0945
Mailing address
8601 W Main St Suite 201, Belleville, IL 62223-1719

Authorised official

Name
Gary R Huelsmann
Title
Executive Director
Phone
(618) 394-5900

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence 003976-12 (IL)

Registry record

NPI
1598031700
Entity type
Organization
NPI issued
2 Apr 2012
Record last updated
17 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.