GRAND PRAIRIE SERVICES - NPI 1598829020 - Clinic/Center in Calumet City, IL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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About Grand Prairie Services NPPES

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

GRAND PRAIRIE SERVICES (NPI 1598829020) is a healthcare organization registered as a mental health (including community mental health center) in Calumet City, Illinois and active in the NPI registry since December 2006. The organization lists Sharronne Ward, President &ceo, as its authorized official.

NPPES Registry Identity

NPI1598829020

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGRAND PRAIRIE SERVICES

Location Address858 BURNHAM AVECalumet City, IL 60409-4728

Mailing Address17746 Oak Park AveTinley Park, IL 60477-3936 · (708) 444-1012 · Fax (708) 614-9449

Phone(708) 891-5429

Fax(708) 891-5502

Organization SubpartNo

Authorized OfficialSharronne WardPresident &ceo · (708) 444-1012

Enumeration DateDecember 20, 2006

Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1598829020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

858 BURNHAM AVE, Calumet City, IL 60409

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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.

JANICE E STRACZEK

Behavior Analyst