Central Professional Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CENTRAL PROFESSIONAL GROUP

Practice address

210 N Hammes Ave
Suite 103
Joliet, IL 60435-6680

Phone

(815) 725-6511

Fax

(815) 725-7166

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dawn Benevides

Title

Billing Supervisor

Phone

(815) 725-6511

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward H Navakas, M.D.

  • Psychiatry Physician
  • Joliet, IL
  • NPI 1184648248
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1255453056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "address_2": "SUITE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356680",
            "telephone_number": "815-725-6511",
            "fax_number": "815-725-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "address_2": "SUITE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356680",
            "telephone_number": "815-725-6511",
            "fax_number": "815-725-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BENEVIDES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "815-725-6511"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467473462",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Family Services
• Center for Neuropsychiatric Development
• Center for Surgery & Breast Health, LLC
• Center for Surgery & Breast Health, LLC
• Centered Care Hospice and Palliative LLC
• Cepamerica Illinois LLP
• Gerard Dennis Cerniak, M.D.
• Michele Renee Chaleunphonh, OTRL
• Saipraseuth Chaleunphonh, MSW
• Lauren Nicole Chan, D.D.S.

• Psychiatry Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.