Provider Demographics
NPI:1356510630
Name:ILLINOIS VALLEY ECONOMIC DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:ILLINOIS VALLEY ECONOMIC DEVELOPMENT CORPORATION
Other - Org Name:FAMILY PLANNING
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERTRUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-576-2218
Mailing Address - Street 1:223 S MACOUPIN ST
Mailing Address - Street 2:PO BOX 88
Mailing Address - City:GILLESPIE
Mailing Address - State:IL
Mailing Address - Zip Code:62033-1605
Mailing Address - Country:US
Mailing Address - Phone:217-839-4431
Mailing Address - Fax:217-839-3647
Practice Address - Street 1:200C SOUTH COUNTY RD
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:IL
Practice Address - Zip Code:62047
Practice Address - Country:US
Practice Address - Phone:618-576-2218
Practice Address - Fax:618-576-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management