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SUBURBAN CLINICAL SERVICES P C
NPI 1801912019
Psychologist - Clinical in Oak Park, IL

Active since March 21, 2007
222 N MARION ST, OAK PARK, IL 60302(708) 795-4747(708) 383-2578 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Suburban Clinical Services P C NPPES

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

SUBURBAN CLINICAL SERVICES P C (NPI 1801912019) is a healthcare organization registered as a clinical in Oak Park, Illinois and active in the NPI registry since March 2007. The organization lists Gulliume Moor, Owner, as its authorized official.

NPPES Registry Identity

NPI1801912019
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUBURBAN CLINICAL SERVICES P C
Location Address222 N MARION STOak Park, IL 60302-1968
Mailing AddressPo Box 3157Oak Park, IL 60303-3157 · (708) 795-4747 · Fax (708) 383-2578
Phone(708) 795-4747
Fax(708) 383-2578
Organization SubpartNo
Authorized OfficialGulliume MoorOwner · (708) 795-4747
Enumeration DateMarch 21, 2007
Last NPPES UpdateNovember 19, 2008
✔ NPI 1801912019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071002653
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
222 N MARION ST, Oak Park, IL 60302
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Other Identifiers 2

Medicare UPINL34761IL
Medicare ID-Type Unspecified356930IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Suburban Clinical Services P C's NPI number?

The NPI number for Suburban Clinical Services P C is 1801912019. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Suburban Clinical Services P C located?

Suburban Clinical Services P C is located at 222 N Marion St, Oak Park, IL 60302. The listed phone number is (708) 795-4747.

What is Suburban Clinical Services P C's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Suburban Clinical Services P C was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.