Good Shepherd Center
NPI #1093877045 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1093877045
- Entity Type
- Organization
- Organization Name
- Good Shepherd Center
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Dec 2, 2015
Practice Location
- Address
- 17314 KEDZIE AVE
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1619
- Phone
- (708) 335-0020
Authorized Official
- Name
- MR. BRENDAN P MCCORMICK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (708) 335-0020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
| Case Management |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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