DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PEDIATRIC THERAPY GROUP

MEDICARE: PEDIATRIC THERAPY GROUP
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
1235Z00000XSpeech-Language PathologistIL

General Provider Information

NPI Number : 1659426682
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC THERAPY GROUP
Provider Business Mailing Address
First Line : 4028 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2925
Country : US
Telephone Number : 773-545-6001
Fax Number :
Provider Business Practice Location Address
First Line : 4028 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2925
Country : US
Telephone Number : 773-545-6001
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TRACEE HIRSCH
Credential :
Telephone Number : 847-266-9292
Provider Enumeration Date : 01/23/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1568594794 — SARAH STEINER
Practice Location Address:
4028 W IRVING PARK RD
CHICAGO, IL
60641-2925
Practice Phone: 773-545-6001
Practice Fax:
1679605851 — CATHERINE MOE
Practice Location Address:
4028 W IRVING PARK RD
CHICAGO, IL
60641-2925
Practice Phone: 773-545-6001
Practice Fax:
1356473581 — REBECCA SCHRAND
Practice Location Address:
4028 W IRVING PARK RD
CHICAGO, IL
60641-2925
Practice Phone: 773-545-6001
Practice Fax:
1043342363 — CARROLL DEJESUS
Practice Location Address:
4028 W IRVING PARK RD
CHICAGO, IL
60641-2925
Practice Phone: 773-545-6001
Practice Fax:
1144353087 — ANGELLA KINZIE
Practice Location Address:
4028 W IRVING PARK RD
CHICAGO, IL
60641-2925
Practice Phone: 773-545-6001
Practice Fax:
1245363209 — SUZANNE ESTEBO
Practice Location Address:
4028 W IRVING PARK RD
CHICAGO, IL
60641-2925
Practice Phone: 773-545-6001
Practice Fax:

Directions to “PEDIATRIC THERAPY GROUP ” 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 © 2007-2025 (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.