SPROUT VENTURES INC. NPI 1144598228

NPI Information

NPI: 1144598228
Provider Name: SPROUT VENTURES, INC.

Doing Business As: SPROUT CLINICS

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
221 E CULLERTON ST
UNIT 101A
CHICAGO, IL
ZIP 60616
Phone: (312) 794-5582
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SPROUT VENTURES, INC. is a professional counselor in Chicago, IL. SPROUT VENTURES, INC. NPI is 1144598228. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sprout Clinics.

The provider's business location address is:

221 E CULLERTON ST
UNIT 101A
CHICAGO, IL
ZIP 60616-386
Phone: (312) 794-5582
Fax: (312) 794-5579

The provider's authorized official is Stephan Matthew Gombis .
The authorized official title is Executive Director and has the following contact phone number (312) 794-5582.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 12/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.007708	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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