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Center for Best Practices in Early Childhood Education, Western Illinois University

Used for: Enrollment and billing submissions for Illinois Early Intervention; includes EI Service Matrix submissions, address/name changes, and related enrollment/billing updates.

Fax destination details

Department
Center for Best Practices in Early Childhood Education, Western Illinois University
Purpose
Enrollment and billing submissions for Illinois Early Intervention; includes EI Service Matrix submissions, address/name changes, and related enrollment/billing updates.
Form
EI Service Matrix — EI Service Matrix Form
Address
Center for Best Practices in Early Childhood Education, Western Illinois University, 950 N Western Ave, Horrabin Hall, Room 20, Macomb, IL 61455
Voice phone
800-701-0995

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  • Check the organization website or call its main line for the current fax number.
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Download the EI Service Matrix, complete the required sections, and submit by mail or fax (not by email for sensitive changes). For name/address changes, include a typed list of affected providers with their NPIs; follow IMPACT and billing workflow guidance.

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