NEW FOUNDATION CENTER INC NPI 1104229988

NPI Information

  • NPI: 1104229988
  • Provider Name: NEW FOUNDATION CENTER INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4343 OLD GRAND AVE
    GURNEE, IL
    ZIP 60031
  • Phone: (847) 672-8525

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NPI Details

NEW FOUNDATION CENTER INC is a mental health counselor in Gurnee, IL. NEW FOUNDATION CENTER INC NPI is 1104229988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4343 OLD GRAND AVE
GURNEE, IL
ZIP 60031-767
Phone: (847) 672-8525
Fax: (847) 672-9493

The provider's authorized official is Susan Shimon .
The authorized official title is Executive Director and has the following contact phone number (847) 501-2939.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 10/7/2014.

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
1101YM0800XCounselorMental HealthYes

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
1IL7460MEDICARE PINILLINOIS
2=========007MEDICAIDILLINOIS

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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