MOODY BIBLE INSTITUTE NPI 1720243843

NPI Information

  • NPI: 1720243843
  • Provider Name: MOODY BIBLE INSTITUTE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: MOODY THEOLOGICAL SEMINARY COUNSELING CENTER
  • CLIA Number: 14D0720665
  • Address: 820 N LASALLE BLVD
    CHICAGO, IL
    ZIP 60610
  • Phone: (312) 329-2870

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NPI Details

MOODY BIBLE INSTITUTE is a general practice in Chicago, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MOODY BIBLE INSTITUTE NPI is 1720243843. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Moody Theological Seminary Counseling Center.

The provider's business location address is:

820 N LASALLE BLVD
CHICAGO, IL
ZIP 60610-284
Phone: (312) 329-2870
Fax: (312) 329-4419

The provider's authorized official is Elizabeth Skjoldal .
The authorized official title is Director and has the following contact phone number (312) 329-2870.

The CLIA number assigned to this NPI record is 14D0720665 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 5/28/2024.

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
1208D00000XGeneral PracticeILLINOISYes

What is NPI?

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This page was last updated on: 3/30/2025

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