Organization
CENTER FOR NEUROPSYCHIATRIC DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE L TIPPY (BILLING ADMINISTRATOR)
(815) 729-7790
Entity
Organization
Contact information
Practice address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-6680
(815) 729-7790
(815) 725-8144
Mailing address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-6680
(815) 729-7790
(815) 725-8144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178005617
IL
2084P0800X
Psychiatry Physician
036072698
IL
2084P0800X
Psychiatry Physician
Primary
036082815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082815
—
IL
Enumeration date
05/19/2009
Last updated
05/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us