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SHEILA A. BOENDER INC NPI 1720223340


NPI Information

NPI: 1720223340
Provider Name: SHEILA A. BOENDER, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9721 165TH ST STE 23
ORLAND PARK, IL
ZIP 60467
Phone: (708) 602-9425
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SHEILA A. BOENDER, INC is a mental health (including community mental health center) clinic center in Orland Park, IL. SHEILA A. BOENDER, INC NPI is 1720223340. The provider is registered as an organization entity type.

The provider's business location address is:

9721 165TH ST STE 23
ORLAND PARK, IL
ZIP 60467-511
Phone: (708) 602-9425
Fax: (708) 460-0300

The provider's authorized official is Sheila A. Boender .
The authorized official title is President and has the following contact phone number (708) 602-9425.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 11/23/2015.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)180003880ILLINOISYes

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

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