C.H.A.N.G.E. OF Illinois – Clinical Psychologist, NPI 1174779771

C.H.A.N.G.E. OF Illinois is a healthcare provider. based in Harvey, Illinois. specializing in Clinical Psychologist. The organization holds a License No. 041.106435 (IL). The NPI Number for C.H.A.N.G.E. OF Illinois is 1174779771

Main info

Organization
Name
C.H.A.N.G.E. OF Illinois
NPI
1174779771
Phone
(708) 331-2679
Address
14719 HALSTED ST
Authorized Official
KIMBERLY KENNER WASH DIRECTOR
Enumeration Date
14 August 2008
Last Update Date
14 August 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness80
Years active:17State licenses:3Digital endpointsUpdated within 12 months

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Provider Addresses for C.H.A.N.G.E. OF Illinois

  • 14719, Halsted Street, North Harvey, Harvey, Thornton Township, Cook County, Illinois, 60426, United States

    HARVEY, IL 604261920

    Phone: (708) 331-2679

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60426)

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Frequently asked questions

What is the 10-digit NPI for C.H.A.N.G.E. OF Illinois?
C.H.A.N.G.E. OF Illinois — NPI 1174779771 — is the standard way to identify this listing.
Can I rely on C.H.A.N.G.E. OF Illinois being an active provider?
As of the registry snapshot, C.H.A.N.G.E. OF Illinois is marked active.
What is C.H.A.N.G.E. OF Illinois's primary classification?
Clinical Psychologist is the headline specialty for C.H.A.N.G.E. OF Illinois here. Clinical services aligned with this taxonomy classification.
What address line appears for C.H.A.N.G.E. OF Illinois?
C.H.A.N.G.E. OF Illinois's geographic hint is Harvey, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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