The Champion Center For Autism, Inc is a
Behavior Analyst based in Country Club Hills, Illinois. The Champion Center For Autism, Inc is licensed to practice in Illinois (license number ) and their current practice location is
17500 Sycamore Ave, Country Club Hills, Illinois. It can be reached at their office (for appointments etc.) via phone at
(708) 213-7991.
NPI number for The Champion Center For Autism, Inc is 1952790560 and their current mailing address is 17500 Sycamore Ave, Country Club Hills, Illinois. The Champion Center For Autism, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1952790560.
Healthcare Provider's Profile
| Full Name | The Champion Center For Autism, Inc |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 17500 Sycamore Ave, Country Club Hills, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952790560
- Provider Enumeration Date: 01/20/2015
- Last Update Date: 01/20/2015
Medical Identifiers
Medical identifiers for The Champion Center For Autism, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952790560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (Illinois) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Illinois) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (Illinois) | Secondary |
| 174H00000X | Health Educator | (Illinois) | Secondary |
| 222Q00000X | Developmental Therapist | (Illinois) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | (Illinois) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (Illinois) | Secondary |
| 225XR0403X | Occupational Therapist - Driving And Community Mobility | (Illinois) | Secondary |
| 103K00000X | Behavior Analyst | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Champion Center For Autism, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
The Champion Center For Autism, Inc
17500 Sycamore Ave,
Country Club Hills, IL 60478-4884
Ph: (708) 213-7991 | The Champion Center For Autism, Inc
17500 Sycamore Ave,
Country Club Hills, IL 60478-4884
Ph: (708) 213-7991 |
Reviews and Comments