CENTER FOR INTUITIVE GROWTH AND HEALING NPI 1023583754

NPI Information

  • NPI: 1023583754
  • Provider Name: CENTER FOR INTUITIVE GROWTH AND HEALING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 10540 S WESTERN AVE STE 314
    CHICAGO, IL
    ZIP 60643
  • Phone: (708) 200-1306

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NPI Details

CENTER FOR INTUITIVE GROWTH AND HEALING is a professional counselor in Chicago, IL. CENTER FOR INTUITIVE GROWTH AND HEALING NPI is 1023583754. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10540 S WESTERN AVE STE 314
CHICAGO, IL
ZIP 60643-529
Phone: (708) 200-1306

The provider's authorized official is Ana Lilia Javier-etapa .
The authorized official title is Owner and has the following contact phone number (708) 200-1306.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 1/3/2023.

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
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4101Y00000XCounselorNo
5101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11245459106MEDICAIDILLINOIS

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: 3/30/2025

NPI Synchronization or Removal

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