Comwell
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chester, IL
NPI 1881806008 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1881806008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- COMWELL
- Practice address
- 3298 Dawnview Road
Chester, IL 62233 - Phone
- (618) 826-4531
- Fax
- (618) 826-3461
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Amy Bauer
- Title
- It Coordinator
- Phone
- (618) 282-6233
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Human Service Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
3298 Dawnview Road
Chester, IL 62233
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233
Other providers in Chester, IL
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- Douglas Scott Cockrell
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- Prem Dua
- Mindy M Dudenbostel
- Alan Robert Felthous
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All providers in Chester, IL · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.