COGNITIVE CLINIC P C NPI 1770936585

NPI Information

  • NPI: 1770936585
  • Provider Name: COGNITIVE CLINIC P C
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 9944 S ROBERTS RD STE 202
    PALOS HILLS, IL
    ZIP 60465
  • Phone: (708) 586-9050

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NPI Details

COGNITIVE CLINIC P C is a professional counselor in Palos Hills, IL. COGNITIVE CLINIC P C NPI is 1770936585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9944 S ROBERTS RD STE 202
PALOS HILLS, IL
ZIP 60465-558
Phone: (708) 586-9050
Fax: (708) 581-3939

The provider's authorized official is Carla Carter .
The authorized official title is President and has the following contact phone number (708) 267-7700.

The enumeration date for this NPI number is 7/16/2016 and was last updated on 5/16/2024.

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
1101YP2500XCounselorProfessional180.010304ILLINOISYes

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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