DR. CAROLYN SUZETTE CHAMPION EDD CADC THD
NPI 1467089573
Counselor - Mental Health in Chicago, IL

Q: What is Carolyn Champion's NPI number?

The NPI number for Carolyn Champion is 1467089573. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Mokl Mokl Mokl Edd Cadc Thd.

Q: What is Carolyn Champion's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Champion was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 26, 2020

2215 W 95TH ST, CHICAGO, IL 60643(773) 819-0646 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Carolyn Suzette Champion Edd Cadc Thd NPPES

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

DR. CAROLYN SUZETTE CHAMPION EDD CADC THD (NPI 1467089573) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (20997) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1467089573

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. CAROLYN SUZETTE CHAMPIONCredential: EDD CADC THD

Location Address2215 W 95TH STChicago, IL 60643-1001

Mailing Address9105 S Harper AveChicago, IL 60619-7917 · (773) 550-5591

Phone(773) 819-0646

Sole ProprietorYes

Enumeration DateMarch 26, 2020

NPPES CertifiedMarch 26, 2020

✔ NPI 1467089573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 20997

2215 W 95TH ST, Chicago, IL 60643

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Other Names 1

Professional Name (2)Mokl Mokl Mokl Edd Cadc Thd

Other Providers at the Same Location NPPES 5

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

ACCESS HEALTH MEDICAL SUPPLIES AND HOME HEALTH INC

Durable Medical Equipment & Medical Supplies

2215 W 95TH ST
CHICAGO, IL 60643

Cook County (773) 221-4273

EPHRAIM PHARMACY INC.

Pharmacy (Community/Retail Pharmacy)

2215 W 95TH ST
CHICAGO, IL 60643

Cook County (773) 454-3392

K.A.M ALLIANCE, INC.

Case Management

2215 W 95TH ST, #100
CHICAGO, IL 60643

Cook County (773) 239-9600

SELMA DZELIL PHARMD

Pharmacist

2215 W 95TH ST
CHICAGO, IL 60643

Cook County (815) 283-1054

ROYALTY INTERVENTION GROUP, INC

General Practice

2215 W 95TH ST, 1 EAST
CHICAGO, IL 60643

Cook County (773) 779-8260

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 Carolyn Champion's NPI number?

The NPI number for Carolyn Champion is 1467089573. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Mokl Mokl Mokl Edd Cadc Thd.

Where is Carolyn Champion located?

Carolyn Champion practices at 2215 W 95th St, Chicago, IL 60643. The listed phone number is (773) 819-0646.

What is Carolyn Champion's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Carolyn Champion was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.