GOOD SHEPHERD CENTER
NPI 1093877045
Clinic/Center - Developmental Disabilities in Hazel Crest, IL

Q: What is Good Shepherd Center's NPI number?

The NPI number for Good Shepherd Center is 1093877045. It was assigned to this organization in the NPPES registry on December 15, 2006.

Q: What is Good Shepherd Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since December 15, 2006

17314 KEDZIE AVE, HAZEL CREST, IL 60429(708) 335-0020(708) 335-0022 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2015, Sep 29, 2015 (2 updates tracked since 2015).

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About Good Shepherd Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SHEPHERD CENTER (NPI 1093877045) is a healthcare organization registered as a developmental disabilities in Hazel Crest, Illinois and active in the NPI registry since December 2006. The organization lists Brendan P Mccormick, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093877045

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameGOOD SHEPHERD CENTER

Location Address17314 KEDZIE AVEHazel Crest, IL 60429-1619

Mailing Address17314 Kedzie AveHazel Crest, IL 60429-1619 · (708) 335-0020 · Fax (708) 335-0022

Phone(708) 335-0020

Fax(708) 335-0022

Organization SubpartNo

Authorized OfficialBrendan P MccormickExecutive Director · (708) 335-0020

Enumeration DateDecember 15, 2006

Last NPPES UpdateDecember 2, 20152 updates tracked since enumeration

✔ NPI 1093877045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in IL · 008118

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License 008118 (IL)

17314 KEDZIE AVE, Hazel Crest, IL 60429

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAE YOON LIM OTR/L

Occupational Therapist

17314 KEDZIE AVE
HAZEL CREST, IL 60429

Cook County (708) 985-3726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Shepherd Center's NPI number?

The NPI number for Good Shepherd Center is 1093877045. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Good Shepherd Center located?

Good Shepherd Center is located at 17314 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 335-0020.

What is Good Shepherd Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Good Shepherd Center was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.