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Contact Information

CENTER FOR PERSONAL GROWTH, PLLC
640 E SAINT CHARLES RD STE 212
CAROL STREAM, IL60188-2600
 Phone: 630-791-0118
 Fax: 630-708-7654
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CENTER FOR PERSONAL GROWTH PLLC · (Female)

NPI # 1831594407
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2014
Last updated 02/24/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 071.008385
  • IL Medicaid 321707109001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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