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Contact Information

CHICAGO PEDIATRIC THERAPY & WELLNESS CENTER, LLC
1739 N ELSTON AVENUE
CHICAGO, IL60642-1544
 Phone: 773-687-9241
 Fax: 773-305-5543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Developmental Therapist

222Q00000X
 

Music Therapist

225A00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CHICAGO PEDIATRIC THERAPY & WELLNESS CENTER, LLC

NPI # 1598163685
LBN Legal business name CHICAGO PEDIATRIC THERAPY & WELLNESS CENTER, LLC
Authorized official ROSE MCLEAN - (PHYSICAL THERAPIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2014
Last updated 12/05/2014 - About 12 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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