National Provider Identifier Database

GOOD SHEPHERD CENTER
Developmental Disabilities

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.).


Contact Information

GOOD SHEPHERD CENTER
17314 KEDZIE AVE
HAZEL CREST, IL60429-1619
Phone: 708-335-0020
Fax: 708-335-0022
Website:
Specialty Taxonomy Code
* Developmental Disabilities 261QD1600X
Case Management 251B00000X
Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for GOOD SHEPHERD CENTER

NPI Number 1093877045
Legal business name
LBN
GOOD SHEPHERD CENTER
Authorized official BRENDAN MCCORMICK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/15/2006
Last updated 12/02/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 008118

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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