STAR CONSULTING SERVICES NPI 1174089031

NPI Information

  • NPI: 1174089031
  • Provider Name: STAR CONSULTING SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 900 W 63RD PKWY
    CHICAGO, IL
    ZIP 60621
  • Phone: (773) 680-0710

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NPI Details

STAR CONSULTING SERVICES is a mental health (including community mental health center) clinic center in Chicago, IL. STAR CONSULTING SERVICES NPI is 1174089031. The provider is registered as an organization entity type.

The provider's business location address is:

900 W 63RD PKWY
CHICAGO, IL
ZIP 60621-000
Phone: (773) 680-0710

The provider's authorized official is Shavonda Latrice Fields .
The authorized official title is Executive Director/president and has the following contact phone number (773) 680-0710.

The enumeration date for this NPI number is 2/15/2019 and was last updated on 2/15/2019.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11477561116OTHERNPI
2355448094001MEDICAIDILLINOIS

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: 11/21/2025

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