MEDICARE: THE PERSONAL DEVELOPMENT GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist		IL
2	101YP2500X	Professional Counselor		IL

General Provider Information

NPI Number	:	1306888003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PERSONAL DEVELOPMENT GROUP, INC

Provider Business Mailing Address
First Line	:	PO BOX 5126
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60204-5126
Country	:	US
Telephone Number	:	847-686-4000
Fax Number	:	847-686-4000

Provider Business Practice Location Address
First Line	:	413 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-1117
Country	:	US
Telephone Number	:	773-635-4000
Fax Number	:	773-635-4000

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGORY CRISENBERY SCOTT CRISENBERY
Credential	:	PSY.D.
Telephone Number	:	847-686-4000

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1851304323 — DR. DEBORAH LYNN ZAMICK PSY.D.
Practice Location Address:

413 W NORTH AVE
CHICAGO, IL
60610-1117

Practice Phone: 312-587-8545
Practice Fax: 773-728-9398

1235205204 — CHERYL E ARATA LCSW
Practice Location Address:

413 W NORTH AVE
CHICAGO, IL
60610-1117

Practice Phone: 773-350-7700
Practice Fax:

1194940320 — PAUL POPERNIK M.A., L.C.P.C.
Practice Location Address:

413 W NORTH AVE
CHICAGO, IL
60610-1117

Practice Phone: 773-879-8831
Practice Fax: 773-635-0015

1962690974 — DR. PORNTHEP TANPOWPONG M.D.
Practice Location Address:

1117 N DEARBORN ST , APT 816
CHICAGO, IL
60610-2701

Practice Phone: 773-341-8090
Practice Fax:

1093108664 — MOLLY FREY
Practice Location Address:

1117 N DEARBORN ST , APT 411
CHICAGO, IL
60610-2701

Practice Phone: 815-245-9801
Practice Fax:

1083310106 — CHICAGO INTEGRATED PSYCHOTHERAPY INCORPORATED
Practice Location Address:

1117 W ALBION AVE
CHICAGO, IL
60626-4613

Practice Phone: 773-562-6244
Practice Fax: 773-562-6244

Directions to “THE PERSONAL DEVELOPMENT GROUP, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.