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SHEMIAH R DERRICK INC. NPI 1003412909


NPI Information

NPI: 1003412909
Provider Name: SHEMIAH R DERRICK INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6127 S UNIVERSITY AVE STE 109
CHICAGO, IL
ZIP 60637
Phone: (773) 424-2007
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SHEMIAH R DERRICK INC. is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SHEMIAH R DERRICK INC. NPI is 1003412909. The provider is registered as an organization entity type.

The provider's business location address is:

6127 S UNIVERSITY AVE STE 109
CHICAGO, IL
ZIP 60637-894
Phone: (773) 424-2007

The provider's authorized official is Shemiah R. Derrick .
The authorized official title is President & Owner and has the following contact phone number (773) 424-2007.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthYes

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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