The Champion Center For Autism, Inc

LBN: The Champion Center For Autism, Inc
The Champion Center For Autism, Inc is an health care organization with primary practice located at 17500 Sycamore Ave , Country Club Hills IL 60478-4884. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. The Champion Center For Autism, Inc can be contacted via phone (708) 213-7991, or through Harrell, Latrice A via phone (708) 213-7991.

Contact Information

Primary practice address
17500 Sycamore Ave Country Club Hills IL 60478-4884
Phone: (708) 213-7991
Fax: (708) 365-6765
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Latrice A
Phone: (708) 213-7991

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Illinois
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Illinois
Other Service Providers / Health Educator 174H00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 225XR0403X Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1952790560
LBN Legal business name The Champion Center For Autism, Inc
DBA Doing business as
Authorized official Harrell, Latrice A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2015
Last updated Jan 20th, 2015 - about 9 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.

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