Children'S Clinic, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

071006306 Issued in IL

Legal business name

CHILDREN'S CLINIC, LLC

Doing business as

Chicago Children's Clinic

Practice address

778 W Frontage Rd
Ste. 123
Northfield, IL 60093-1209

Phone

(312) 587-1742

Fax

(312) 376-1047

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Daniels, PH.D.

Title

Member

Phone

(312) 587-1742

Specialties & licenses 1

Addresses

Other names 1

• Chicago Children's Clinic Doing business as

Locations

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1285055343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD",
            "address_2": "STE. 123",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "312-587-1742",
            "fax_number": "312-376-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD",
            "address_2": "STE. 123",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "312-587-1742",
            "fax_number": "312-376-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "312-587-1742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "071006306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Galanis MDSC
• Ali Charnov, LPC
• Lillian T. Chen-Byerley, MS, OTR/L, RCTC
• Chicago Chiropractic & Sports Medicine LLC
• Child Psychiatric Services, LTD.
• Kendra Rand Chilewich, PT, MPT, DPT
• Gloria Lee Christiansen, R.PH
• Georgia Christopoulos, PHARMACIST
• Sabrina Cinqui, DDS
• Kevin Anthony Clancey

• Adolescent and Children Mental Health Clinic/Center in Northfield, IL
• Providers in Northfield, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.