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

Shriners Hospitals for Children

Organization Psychologist · NPI 1871930693

Shriners Hospitals for Children is a Psychologist in Chicago, Illinois. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5
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Practice location Address checks out

2211 N Oak Park Ave
Chicago, IL 60707-3351
Phone: (773) 385-5400
Fax: (773) 385-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1871930693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (218) 281-0300
Other names Shriners Hospitals For Children Professional Services; Shriners Hospitals For Children Professional Services
NPI enumeratedJune 3, 2013
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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