A Professional who is Reimbursed Directly as an Independent Provider

  1. You must submit the following documents, Encrypted, to Janene.Vanbebber@illinois.gov or to the address below:

    Department of Human Services
    Division of Developmental Disabilities
    319 E. Madison Street, Suite 3M
    Springfield, IL 62701

    Attention: Provider Enrollment

  1. You must obtain your National Provider Identification Number 


     

Important Resources for Requirements