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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GOOD SHEPHERD CENTER

Active Organization

GOOD SHEPHERD CENTER is a Developmental Disabilities Clinic organization located in HAZEL CREST, Illinois. NPI 1093877045 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · HAZEL CREST, IL

Registration Details

NPI Number
1093877045
Provider Type
Organization
NPI Issued
Dec 15, 2006 (19.67032062456 yrs)
Last Updated
Dec 2, 2015
Licenses
008118 (IL)
008118 (IL)

Practice Information

Address
17314 KEDZIE AVE
HAZEL CREST, IL, 604291619
Browse IL providers · Browse ZIP 60429
Phone
7083350020
Fax
7083350022
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Additional Specialty
Case Management Agency
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.