CHICAGO CHILDREN'S CLINIC
NPI 1285055343
Clinic/Center - Adolescent and Children Mental Health in Northfield, IL

NPI Status: Active since December 17, 2013

Contact Information

778 W FRONTAGE RD
STE. 123
NORTHFIELD, IL
ZIP 60093
Phone: (312) 587-1742
Fax: (312) 376-1047

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About CHICAGO CHILDREN'S CLINIC

This page provides the complete NPI Profile along with additional information for Chicago Children's Clinic, a provider established in Northfield, Illinois operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1285055343 assigned on December 2013. The practitioner's primary taxonomy code is 261QM0855X with license number 071006306 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Chicago Children's Clinic. The authorized official of this NPI record is Dr. Robert E Daniels Ph.d. (Member)

NPI
1285055343
Provider Legal Name
CHILDREN'S CLINIC, LLC
Other Organization Name
CHICAGO CHILDREN'S CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
778 W FRONTAGE RD STE. 123 NORTHFIELD, IL 60093
Location Phone
(312) 587-1742
Location Fax
(312) 376-1047
Mailing Address
778 W FRONTAGE RD STE. 123 NORTHFIELD, IL 60093
Mailing Phone
(312) 587-1742
Mailing Fax
(312) 376-1047
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2013
Last Update Date
12-17-2013
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
071006306
License State
IL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT E DANIELS PH.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(312) 587-1742

Reviews for CHICAGO CHILDREN'S CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285055343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165051038
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 0 + 5 + 1 + 0 + 3 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1285055343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114001690 VICTORIA V LAVIGNE PHD
Individual
Psychologist (Clinical Child & Adolescent)778 W FRONTAGE RD SUITE 123
NORTHFIELD, IL 60093
(847) 446-7184
1184701484DR. MICHAEL W. MCCANNA PH.D.
Individual
Psychologist (Clinical)778 W FRONTAGE RD SUITE 123
NORTHFIELD, IL 60093
(847) 501-3440
1841330909DR. NATHAN NORMAN BIRNBERG M.D.
Individual
Psychiatry & Neurology (Psychiatry)778 W FRONTAGE RD SUITE # 111
NORTHFIELD, IL 60093
(312) 644-5224
1841409430DR. ANN MCCARTNEY PH.D.
Individual
Psychologist (Clinical)778 W FRONTAGE RD SUITE 114
NORTHFIELD, IL 60093
(847) 501-5875
1386906139OPEN WINGS LEARNING COMMUNITY
Organization
Clinic/Center (Adolescent and Children Mental Health)778 W FRONTAGE RD STE. 123
NORTHFIELD, IL 60093
(312) 587-1742
1942552245DR. BRYN W JESSUP PH.D.
Individual
Psychologist (Clinical)778 W FRONTAGE RD 114
NORTHFIELD, IL 60093
(847) 501-5897
1700910551 KAREN FRETZIN LCPC, CADC
Individual
Counselor (Mental Health)778 W FRONTAGE RD SUITE 113
NORTHFIELD, IL 60093
(847) 784-6953
1518293133 DEIRDRE HICKS SCHWALLIE PSY.D.
Individual
Psychologist (Clinical)778 W FRONTAGE RD
NORTHFIELD, IL 60093
(312) 927-8940
1144213323DR. ELIZABETH F. FELDMAN PH.D.
Individual
Psychologist (Clinical)778 W FRONTAGE RD SUITE 115
NORTHFIELD, IL 60093
(847) 501-3620
1891978979MR. FRED ALLEN GITLES M.S.W.
Individual
Social Worker (Clinical)778 W FRONTAGE RD SUITE 115
NORTHFIELD, IL 60093
(847) 441-5910
1073788303MS. DEBRA MARIE BEYER PT
Individual
Physical Therapist778 W FRONTAGE RD SUITE 112
NORTHFIELD, IL 60093
(224) 255-6799
1235357849BRYN W. JESSUP, PHD, PC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))778 W FRONTAGE RD SUITE 114
NORTHFIELD, IL 60093
(847) 501-5897
1790230845 CORI MARIE GILBERT BCBA
Individual
Behavior Analyst778 W FRONTAGE RD
NORTHFIELD, IL 60093
(312) 780-0820
1790581395 MADELINE LEE
Individual
Behavior Technician778 W FRONTAGE RD SUITE 101
NORTHFIELD, IL 60093
(312) 780-0820
1023808060 MANAR SALIH
Individual
Behavior Technician778 W FRONTAGE RD
NORTHFIELD, IL 60093
(312) 780-0820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285055343, enumerated in the NPI registry as an "organization" on December 17, 2013

The provider is located at 778 W Frontage Rd Ste. 123 Northfield, Il 60093 and the phone number is (312) 587-1742

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

This NPI record was last updated on December 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.