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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

NPI Number 1831594407
LBN Legal business name CENTER FOR PERSONAL GROWTH, PLLC
Authorized official KIERA LIEBICH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2014
Last updated 02/24/2024 - About 2 years ago
Identifiers
IL License # 071.008385
IL Medicaid 321707109001
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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