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Contact Information

CENTER FOR PERSONAL DEVELOPMENT
444 N MICHIGAN AVE
SUITE 1820
CHICAGO, IL60611
 Phone: 312-755-7000
 Fax: 312-755-7001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CENTER FOR PERSONAL DEVELOPMENT

NPI Number 1063461069
LBN Legal business name CENTER FOR PERSONAL DEVELOPMENT
Authorized official STEVEN NAKISHER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2006
Last updated 06/05/2014 - About 12 years ago
Identifiers
IL License # 071005565
IL Other 21623432 BCBS
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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