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CENTER FOR SELF-ACTUALIZATION
NPI 1922423508
Counselor - Professional in Evergreen Park, IL

Active since February 19, 2014
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805(312) 927-0216 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Center For Self-actualization NPPES

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

CENTER FOR SELF-ACTUALIZATION (NPI 1922423508) is a healthcare organization registered as a professional in Evergreen Park, Illinois and active in the NPI registry since February 2014. The organization lists Tammy Rohan Bobel, Director, as its authorized official.

NPPES Registry Identity

NPI1922423508
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCENTER FOR SELF-ACTUALIZATION
Location Address3317 W 95TH ST, SUITE 101Evergreen Park, IL 60805-2243
Mailing Address3317 W 95th St, Suite 101Evergreen Park, IL 60805-2243 · (312) 927-0216
Phone(312) 927-0216
Organization SubpartNo
Authorized OfficialTammy Rohan BobelDirector · (312) 927-0216
Enumeration DateFebruary 19, 2014
✔ NPI 1922423508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180008083✔ Licensed in IL · 180008956
3317 W 95TH ST, Evergreen Park, IL 60805
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. BRIAN LEE KELLEY LCPC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MS. CHAUNTE WILDER
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MRS. VICTORIA LOUISE MCANDREW LPC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 634-6734
MISS NAOMI MARIE LEDEZMA MA
Counselor (Mental Health)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MATTHEW LIESER
Counselor (Professional)
3317 W 95TH ST, SUITE 101
EVERGREEN PARK, IL 60805
Cook County (708) 466-2075
MRS. MICHELLE MARIE KELLER
Counselor (Mental Health)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MR. LESLIE E GRANGE LPC
Counselor
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 381-1176
MS. JANICE M FRUM LPC, NCC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (630) 715-7047

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 Center For Self-Actualization's NPI number?

The NPI number for Center For Self-Actualization is 1922423508. It was assigned to this organization in the NPPES registry on February 19, 2014.

Where is Center For Self-Actualization located?

Center For Self-Actualization is located at 3317 W 95th St Suite 101, Evergreen Park, IL 60805. The listed phone number is (312) 927-0216.

What is Center For Self-Actualization's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Center For Self-Actualization was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.