HYDE PARK CENTER FOR HEALING LLC NPI 1881164036

NPI Information

NPI: 1881164036
Provider Name: HYDE PARK CENTER FOR HEALING LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5113 S HARPER AVE STE 2006
CHICAGO, IL
ZIP 60615
Phone: (872) 212-3424
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HYDE PARK CENTER FOR HEALING LLC is a multi-specialty clinic center in Chicago, IL. HYDE PARK CENTER FOR HEALING LLC NPI is 1881164036. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5113 S HARPER AVE STE 2006
CHICAGO, IL
ZIP 60615-119
Phone: (872) 212-3424

The provider's authorized official is Jessica Kuhnen .
The authorized official title is Ceo and has the following contact phone number (872) 212-3424.

The enumeration date for this NPI number is 11/30/2018 and was last updated on 11/30/2018.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QM1300X	Clinic/Center	Multi-Specialty	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: 4/28/2024

NPI Synchronization or Removal

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