GOOD SHEPHERD CENTER NPI 1093877045

NPI Information

  • NPI: 1093877045
  • Provider Name: GOOD SHEPHERD CENTER
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 17314 KEDZIE AVE
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 335-0020

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NPI Details

GOOD SHEPHERD CENTER is a developmental disabilities clinic center in Hazel Crest, IL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GOOD SHEPHERD CENTER NPI is 1093877045. The provider is registered as an organization entity type.

The provider's business location address is:

17314 KEDZIE AVE
HAZEL CREST, IL
ZIP 60429-619
Phone: (708) 335-0020
Fax: (708) 335-0022

The provider's authorized official is Brendan P Mccormick .
The authorized official title is Executive Director and has the following contact phone number (708) 335-0020.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 12/2/2015.

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
1251B00000XCase ManagementNo
2261QR0400XClinic/CenterRehabilitation008118ILLINOISNo
3261QD1600XClinic/CenterDevelopmental Disabilities008118ILLINOISYes

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

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