Central Professional Group
LBN: Central Professional Group
Central Professional Group is an health care organization with primary practice located at 210 N Hammes Ave Suite 103, Joliet IL 60435-6680. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Central Professional Group can be contacted via phone (815) 725-6511, or through Benevides, Dawn via phone (815) 725-6511.
Contact Information
Primary practice address
210 N Hammes Ave Suite 103
Joliet IL 60435-6680
Phone: (815) 725-6511
Fax: (815) 725-7166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1255453056 |
|---|---|
| LBN Legal business name | Central Professional Group |
| DBA Doing business as | |
| Authorized official | Benevides, Dawn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Apr 28th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255453056 | NPPES |
| Illinois | MEDICAID | 1467473462 |
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