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NPI Code Detail

MEDICARE: A-Z DEVELOPMENT GROUP, LLC

MEDICARE: A-Z DEVELOPMENT GROUP, LLC
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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1417322512
Entity Type Code : Organization
Provider Name (Legal Business Name) : A-Z DEVELOPMENT GROUP, LLC
Provider Business Mailing Address
First Line : 3209 W ARGYLE ST APT 2N
Second Line :
City : CHICAGO
State : IL
Zip : 60625-4932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3209 W ARGYLE ST APT 2N
Second Line :
City : CHICAGO
State : IL
Zip : 60625-4932
Country : US
Telephone Number : 773-391-2377
Fax Number :
Authorized Official
Title or Position : DEVELOPMENTAL THERAPIST
Name : SUSAN LORENZ
Credential :
Telephone Number : 773-391-2377
Provider Enumeration Date : 12/01/2015
Last Update Date : 05/04/2026

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Directions to “A-Z DEVELOPMENT GROUP, LLC ” Practice Location

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