| Organization Name: | ILLINOIS DEPARTMENT OF HUMAN SERVICES |
| NPI Number: | 1306834726 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE LEIGH ZIMMER (REIMBURSEMENT OFFICE II SUPERVISOR) |
| Mailing Address: | 1315 Lehmen Dr Chester |
| State: | IL US |
| Postal Code: | 622332542 |
| Phone Number: | 6188264571 |
| Fax Number: | 6188263229 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |