Good Shepherd Center
Good Shepherd Center is a healthcare organization registered as Developmental Disabilities Clinic/Center in Hazel Crest, IL, holding Type 2 (organization) NPI 1093877045 since 2006. The authorized official on file is Brendan Mccormick, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093877045 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Good Shepherd Center |
| Practice address | 17314 KEDZIE AVE, Hazel Crest, IL, 60429 |
| Phone | 7083350020 |
| Fax | 7083350022 |
| Enumeration date | 2006-12-15 |
| Last updated in NPPES | 2015-12-02 |
Authorized official
| Name | Brendan Mccormick |
|---|---|
| Title | Executive Director |
| Phone | 7083350020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0400X | Rehabilitation Clinic/Center | Secondary | 008118 | IL |
| 251B00000X | Case Management Agency | Secondary | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | Primary | 008118 | IL |
Copy-ready billing details
Provider: Good Shepherd Center NPI: 1093877045 Taxonomy: 261QD1600X (Developmental Disabilities Clinic/Center) Address: 17314 KEDZIE AVE, Hazel Crest, IL, 60429
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871185884 | Jae Yoon Lim | Individual | Occupational Therapist | Hazel Crest, IL |
Verify this record
Cross-check NPI 1093877045 against the authoritative CMS record: view Good Shepherd Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Good Shepherd Center?
What is the NPI number for Good Shepherd Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-12-02.