SUMMERVILLE NEUROPSYCHOLOGY CENTER PC NPI 1922766526

NPI Information

NPI: 1922766526
Provider Name: SUMMERVILLE NEUROPSYCHOLOGY CENTER PC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2835 N SHEFFIELD AVE STE 214
CHICAGO, IL
ZIP 60657
Phone: (630) 424-8900
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SUMMERVILLE NEUROPSYCHOLOGY CENTER PC is a mental health (including community mental health center) clinic center in Chicago, IL. SUMMERVILLE NEUROPSYCHOLOGY CENTER PC NPI is 1922766526. The provider is registered as an organization entity type.

The provider's business location address is:

2835 N SHEFFIELD AVE STE 214
CHICAGO, IL
ZIP 60657-083
Phone: (630) 424-8900

The provider's authorized official is Randall Summerville .
The authorized official title is Owner and has the following contact phone number (630) 424-8900.

The enumeration date for this NPI number is 12/1/2021 and was last updated on 12/1/2021.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/14/2023

NPI Synchronization or Removal

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