OrganizationActive
Good Shepherd Center
NPI 1093877045 · Developmental Disabilities Clinic/Center · Hazel Crest, IL
Provider details
- NPI number
- 1093877045
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brendan Mccormick, Executive Director(708) 335-0020
- License
- 008118 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
Practice location
17314 Kedzie Ave
Hazel Crest, IL 60429-1619
Phone: (708) 335-0020
Fax: (708) 335-0022
Approximate (ZIP-level) locationGet directions
Mailing address
17314 Kedzie Ave
Hazel Crest, IL 60429-1619
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2015-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.