THE NEUROFEEDBACK AND COGNITIVE TRAINING INSTITUTE OF GREATER CHICAGO NPI 1568747202

NPI Information

  • NPI: 1568747202
  • Provider Name: THE NEUROFEEDBACK AND COGNITIVE TRAINING INSTITUTE OF GREATER CHICAGO
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 404 W BOUGHTON RD
    SUITE B
    BOLINGBROOK, IL
    ZIP 60440
  • Phone: (630) 759-1732

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NPI Details

THE NEUROFEEDBACK AND COGNITIVE TRAINING INSTITUTE OF GREATER CHICAGO is a mental health (including community mental health center) clinic center in Bolingbrook, IL. THE NEUROFEEDBACK AND COGNITIVE TRAINING INSTITUTE OF GREATER CHICAGO NPI is 1568747202. The provider is registered as an organization entity type.

The provider's business location address is:

404 W BOUGHTON RD
SUITE B
BOLINGBROOK, IL
ZIP 60440-898
Phone: (630) 759-1732
Fax: (630) 759-5220

The provider's authorized official is Marcia Susan Gibson .
The authorized official title is Vice-president and has the following contact phone number (630) 759-1732.

The enumeration date for this NPI number is 10/13/2011 and was last updated on 10/13/2011.

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)071007322ILLINOISYes

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
1PTAN IS IL 3090OTHERILLINOISMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN) IS IL3090

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: 3/30/2025

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