Champion Management Group

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CHAMPION MANAGEMENT GROUP

Practice address

2101 N Laramie Ave
Chicago, IL 60639-3125

Phone

(773) 826-9251

NPI assigned

Jun 14, 2010

Last updated

Jun 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Chimielka Champion

Title

President

Phone

(773) 826-9251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1619298676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393125",
            "telephone_number": "773-826-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "CHIMIELKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-826-9251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby Chamness
• Rebeca Chamorro
• Emily Champa
• Alexandria Champagne, LCSW
• Kathryn Champagne, OTR/L
• Carolyn Suzette Champion, EDD CADC THD
• Chams Women's Health Care, SC
• Albert N Chams, M.D.
• Abbas A Chamsuddin, M.D.
• Alexander Howai Chan, DDS

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.