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

South Haven Behavioral Modification II Inc

Organization Group Psychotherapy Psychologist · NPI 1386671279

South Haven Behavioral Modification II Inc is a Group Psychotherapy Psychologist in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

448-454 E 61st St
Chicago, IL 60637
Phone: (773) 752-8602
Fax: (773) 752-5824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Group Psychotherapy Psychologist (primary) Taxonomy 103TP2701X

Record details

NPI number1386671279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dante Pimentel — President · (773) 752-8602
NPI enumeratedJune 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4632 175th Pl, Country Club Hills, IL 60478-4531

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