PATHWAY PROVIDER SERVICES PC NPI 1366575623

NPI Information

NPI: 1366575623
Provider Name: PATHWAY PROVIDER SERVICES PC

Former Legal Business Name: PATHWAY PROVIDER SERVICES LTD

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
810 HARRISON ST
OAK PARK, IL
ZIP 60304
Phone: (708) 445-9330
Get Directions

PATHWAY PROVIDER SERVICES PC is a mental health counselor in Oak Park, IL. PATHWAY PROVIDER SERVICES PC NPI is 1366575623. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pathway Provider Services Ltd.

The provider's business location address is:

810 HARRISON ST
OAK PARK, IL
ZIP 60304
Phone: (708) 445-9330

The provider's authorized official is James A Quandt .
The authorized official title is President and has the following contact phone number (708) 383-0065.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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