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Contact Information

THE CHAMPION CENTER FOR AUTISM, INC
17500 SYCAMORE AVE
COUNTRY CLUB HILLS, IL60478-4884
 Phone: 708-213-7991
 Fax: 708-365-6765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Developmental Therapist

222Q00000X
 

Driving and Community Mobility

225XR0403X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Health Educator

174H00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for THE CHAMPION CENTER FOR AUTISM, INC

NPI # 1952790560
LBN Legal business name THE CHAMPION CENTER FOR AUTISM, INC
Authorized official LATRICE HARRELL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2015
Last updated 01/20/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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