Organization · Type 2 NPI
Good Shepherd Center
Developmental Disabilities Clinic/Center · Hazel Crest, IL
Practice location
17314 Kedzie Ave
Hazel Crest, IL 60429-1619
Fax (708) 335-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | 008118 (IL) |
| Rehabilitation Clinic/Center | 261QR0400X | 008118 (IL) |
Developmental Disabilities Clinic/Center: 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.).
Another provider at this address
About NPI 1093877045
Good Shepherd Center's National Provider Identifier is 1093877045, issued on Dec 15, 2006. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Hazel Crest, IL. The record was last updated on Dec 2, 2015.