KATHLEEN PENDERGAST LLC NPI 1255086146

NPI Information

NPI: 1255086146
Provider Name: KATHLEEN PENDERGAST LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2001 W NORTH AVE
CHICAGO, IL
ZIP 60647
Phone: (574) 261-7547
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KATHLEEN PENDERGAST LLC is a professional counselor in Chicago, IL. KATHLEEN PENDERGAST LLC NPI is 1255086146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 W NORTH AVE
CHICAGO, IL
ZIP 60647-413
Phone: (574) 261-7547

The provider's authorized official is Kathleen M Pendergast .
The authorized official title is Psychotherapist, Ceo and has the following contact phone number (574) 261-7547.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 2/18/2022.

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			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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