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Contact Information

ASCENDING SPROUTS PEDIATRIC THERAPY, LLC
10440 PRINCESS AVE
CHICAGO RIDGE, IL60415-1805
 Phone: 708-704-9112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
 

Speech-Language Assistant

2355S0801X
Indicates primary specialty

NPI Profile & details for ASCENDING SPROUTS PEDIATRIC THERAPY, LLC

NPI # 1225611619
LBN Legal business name ASCENDING SPROUTS PEDIATRIC THERAPY, LLC
Authorized official KRISTIN WASILEWSKI - (SPEECH-LANGUAGE PATHOLOGIST / CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2021
Last updated 05/03/2021 - About 5 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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