Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon-Paul Champine, Psy D , PC

Organization Clinical Psychologist · NPI 1629377882

Jon-Paul Champine, Psy D , PC is a Clinical Psychologist in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2530 Crawford Ave Ste 315
Evanston, IL 60201-4970
Phone: (847) 869-4650
Fax: (773) 751-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071006739 (IL)

Record details

NPI number1629377882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon-Paul Champine — President · (847) 869-4650
NPI enumeratedMarch 26, 2011
Last updated in NPPESMarch 26, 2011
Mailing address2530 Crawford Ave, Suite 315, Evanston, IL 60201-4970

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