| Chaddock | |
|
921 N 24th St Quincy IL 62301-2267 | |
| (217) 222-0034 | |
| (217) 222-0253 |
| Full Name | Chaddock |
|---|---|
| Speciality | Foster Care Agency |
| Location | 921 N 24th St, Quincy, Illinois |
| Authorized Official Name and Position | Kristen Patton (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 2175920317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaddock 205 S 24th St Quincy IL 62301-4446 Ph: (217) 222-0034 | Chaddock 921 N 24th St Quincy IL 62301-2267 Ph: (217) 222-0034 |
| NPI Number | 1093063208 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093063208 | NPI | - | NPPES |
| #3A00-IPI-019 | Medicaid | IL |
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