OrganizationActive
Autism Evaluation Center at the Place
NPI 1104772987 · Clinical Psychologist · Chicago, IL
Provider details
- NPI number
- 1104772987
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Autism Evaluation Center at the Place
- Organization subpart
- Yes
- Authorized official
- Lluvia Marquez, Director of Billing Dept(773) 644-7787
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
19 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8609 W Bryn Mawr Ave Ste 204
Chicago, IL 60631-3524
Phone: (773) 347-3145
Fax: (224) 241-3132
Street-level locationGet directions
Mailing address
8609 W Bryn Mawr Ave Ste 204
Chicago, IL 60631-3524
Additional practice locations (18)
- 140 S River St Ste 102104Aurora, IL 60506-6077Phone: (773) 347-3145Fax: (224) 241-3132
- 301 S Prospect Rd Ste 2Bloomington, IL 61704-4908Phone: (773) 347-3145Fax: (224) 241-3132
- 1823 S Neil StChampaign, IL 61820-7272Phone: (773) 347-3145Fax: (224) 241-3132
- 4145 W Armitage AveChicago, IL 60639-3644Phone: (773) 347-3145Fax: (224) 241-3132
- 814 N Franklin StChicago, IL 60610-3813Phone: (773) 347-3145Fax: (224) 241-3132
- 6202 W Montrose AveChicago, IL 60634-1556Phone: (773) 347-3145Fax: (224) 241-3132
- 3139 W 111th StChicago, IL 60655-2205Phone: (773) 347-3145Fax: (224) 241-3132
- 5960 N Milwaukee AveChicago, IL 60646-5424Phone: (773) 347-3145
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.