Organization Active NPI

Championz Korner PLLC

Doing business as Championz Korner

  • Community/Behavioral Health Agency
  • Oak Park, IL
National Provider Identifier
1033855655
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHAMPIONZ KORNER PLLC
Doing business as
Championz Korner
Practice address
405 N Euclid Ave
Oak Park, IL 60302
Phone
(708) 665-5443
NPI assigned
May 6, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valencia WilliamsNPI 1528421229
Title
Owner
Phone
(708) 665-5443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

405 N Euclid Ave
Oak Park, IL 60302

Mailing address

405 N Euclid Ave
Oak Park, IL 60302-2111
Phone (708) 665-5443

Other names 1

  • Championz Korner Doing business as

National Provider Directory

National Provider Directory

Locations

405 N Euclid Ave
Oak Park, IL 60302
Phone (708) 665-5443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1033855655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N EUCLID AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022111",
            "telephone_number": "708-665-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N EUCLID AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60302",
            "telephone_number": "708-665-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONZ KORNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-665-5443"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Championz Korner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.