1881738979 GILLESPIE 694140
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- GILLESPIE 694140
- Enumeration Date
- February 20, 2007
- Last Update
- August 22, 2020
- Authorized Official
- SUSIE PENNELL
ADMINISTRATIVE ASSISTANT
Phone: (217) 479-2120
Practice Location
- Address
- 1201 S MAIN ST
JACKSONVILLE, IL 626503339 - Phone
- (217) 479-2120
- Fax
- (217) 243-8920
Mailing Address
- Address
- 1201 S MAIN ST
JACKSONVILLE, IL 626503339 - Phone
- (217) 479-2120
- Fax
- (217) 243-8920
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 694140 | 05 | IL | N/A |
Frequently Asked Questions
What is GILLESPIE 694140's NPI number?
GILLESPIE 694140's NPI number is 1881738979.
Which doctor has NPI number 1881738979?
The doctor with NPI number 1881738979 is GILLESPIE 694140.
What is GILLESPIE 694140's practice address?
GILLESPIE 694140's practice address is 1201 S MAIN ST, JACKSONVILLE, IL, 626503339.
Which doctor practices at 1201 S MAIN ST, JACKSONVILLE, IL, 626503339?
GILLESPIE 694140 practices at 1201 S MAIN ST, JACKSONVILLE, IL, 626503339.
What is GILLESPIE 694140's phone number?
GILLESPIE 694140's phone number is (217) 479-2120.
Who is (217) 479-2120?
(217) 479-2120 is the phone number for GILLESPIE 694140.
What is GILLESPIE 694140's specialty?
GILLESPIE 694140's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is GILLESPIE 694140?
GILLESPIE 694140 is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is GILLESPIE 694140 a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, GILLESPIE 694140 is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is GILLESPIE 694140 still practicing?
Yes, GILLESPIE 694140 is currently practicing.
Is GILLESPIE 694140 accepting new patients?
GILLESPIE 694140 may be accepting new patients. Please call their office at (217) 479-2120 to inquire about availability.
Is NPI 1881738979 still active?
Yes, NPI 1881738979 is currently active.
Where does GILLESPIE 694140 practice?
GILLESPIE 694140 practices in JACKSONVILLE, IL.