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Contact Information

EB PEDIATRIC RESOURCES INC
3712 N BROADWAY ST # 250
CHICAGO, IL60613-4235
 Phone: 773-615-3202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Behavior Analyst

103K00000X
 

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Developmental Therapist

222Q00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for EB PEDIATRIC RESOURCES INC

NPI Number 1790975266
LBN Legal business name EB PEDIATRIC RESOURCES INC
Authorized official ELIZABETH BENNEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2007
Last updated 08/31/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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