Good Shepherd Center in Hazel Crest - Rehabilitation
Good Shepherd Center - NPI 1093877045
Good Shepherd Center is a Rehabilitation in Hazel Crest, Illinois. Good Shepherd Center practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Good Shepherd Center is 1093877045. The last update date is 2015-12-02.
Good Shepherd Center's current location address is 17314 Kedzie Ave, Hazel Crest, Illinois. You can contact this provider via phone number 7083350020 and fax number 7083350022. The mailing address for Good Shepherd Center is 17314 Kedzie Ave, Hazel Crest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Good Shepherd Center |
|---|---|
| Address | 17314 Kedzie Ave, Hazel Crest, Illinois |
| Phone Number | 7083350020 |
| Fax Number | 7083350022 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mccormick P Brendan |
| Telephone Number | 7083350020 |
NPI Number Detail
| NPI Number | 1093877045 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2015-12-02 |
Provider Mailing Address Detail
| Address | 17314 Kedzie Ave |
|---|---|
| City | Hazel Crest |
| State | Illinois (IL) |
| Post Code | 604291619 |
| Phone Number | 7083350020 |
| Fax Number | 7083350022 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 261Qr0400X |
| Licence No | 8118 |
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Definition: Helps patients regain function after illness, injury or surgery through therapeutic interventions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Good Shepherd Center by the Centers for Medicare & Medicaid Services?
The Good Shepherd Center has been issued the NPI (National Provider Identifier) 1093877045, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Good Shepherd Center is located?
The Good Shepherd Center is situated at the following address: 17314 Kedzie Ave, Hazel Crest, IL, 604291619.
What is Good Shepherd Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Good Shepherd Center's area of specialization is Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0400X.
On what date was the 1093877045 assigned to Good Shepherd Center?
The Good Shepherd Center was issued its 1093877045 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Good Shepherd Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Good Shepherd Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-02.