Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Central Illinois Developmental Therapy, Inc

Organization Developmental Therapist · NPI 1578778403

Central Illinois Developmental Therapy, Inc is a Developmental Therapist in Charleston, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

762 8th St
Charleston, IL 61920-2116
Phone: (217) 821-1752
Fax: (217) 345-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1578778403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Winchester — President · (217) 821-1752
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1702, Mattoon, IL 61938-1702

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