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CENTRAL PROFESSIONAL GROUP NPI 1255453056


NPI Information

NPI: 1255453056
Provider Name: CENTRAL PROFESSIONAL GROUP
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
210 N HAMMES AVE
SUITE 103
JOLIET, IL
ZIP 60435
Phone: (815) 725-6511
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CENTRAL PROFESSIONAL GROUP is a psychiatry psychiatry neurology in Joliet, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CENTRAL PROFESSIONAL GROUP NPI is 1255453056. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 N HAMMES AVE
SUITE 103
JOLIET, IL
ZIP 60435-680
Phone: (815) 725-6511
Fax: (815) 725-7166

The provider's authorized official is Dawn Benevides .
The authorized official title is Billing Supervisor and has the following contact phone number (815) 725-6511.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 4/28/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICARE UPINILLINOIS
2145710MEDICARE PINILLINOIS
3145761MEDICARE PININDIANA
4260050585MEDICARE PINILLINOIS
5145618MEDICARE PINILLINOIS
6260040422MEDICARE PINILLINOIS
71417197690MEDICARE PINILLINOIS
8145221MEDICARE PINILLINOIS
9145316MEDICARE PINILLINOIS
10146061MEDICARE PINILLINOIS
11260019863MEDICARE PINILLINOIS
12140213MEDICARE PINILLINOIS
13=========OTHERILLINOISMEDICARE RAILROAD
14145694MEDICARE PINILLINOIS
15145029MEDICARE PINILLINOIS
16145247MEDICARE PINILLINOIS
17260039635MEDICARE PINILLINOIS
18800009299MEDICARE PINILLINOIS
19CL4519MEDICARE PINILLINOIS
20K51874MEDICARE PINILLINOIS
211184648248MEDICARE PINILLINOIS
221467473462MEDICAIDILLINOIS
2314S213MEDICARE PINILLINOIS
24211727MEDICARE PINILLINOIS
25800009300MEDICARE PINILLINOIS
26K51496MEDICARE PINILLINOIS
27L26936MEDICARE PINILLINOIS
28145311MEDICARE PINILLINOIS
29145372MEDICARE PINILLINOIS
30145754MEDICARE PINILLINOIS
31145892MEDICARE PINILLINOIS
32260025882MEDICARE PINILLINOIS
3380009298MEDICARE PINILLINOIS

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

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