Healthcare Provider Details

I. General information

NPI: 1710808639
Provider Name (Legal Business Name): THE CONNECTED CORE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13305 W DOEDE LN
HOMER GLEN IL
60491-9703
US

IV. Provider business mailing address

13305 W DOEDE LN
HOMER GLEN IL
60491-9703
US

V. Phone/Fax

Practice location:
  • Phone: 773-443-2924
  • Fax:
Mailing address:
  • Phone: 773-443-2924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SARA SKINNER
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 773-443-2924