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NPI 1386906261 · Clinical Neuropsychologist · Blue Island, IL
Provider details
- NPI number
- 1386906261
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Pagel Williams, Director(773) 936-7000
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
12654 Maple Ave
Blue Island, IL 60406-1904
Phone: (708) 489-0001
Fax: (708) 489-0002
Street-level locationGet directions
Mailing address
12654 Maple Ave
Blue Island, IL 60406-1904
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2012-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.