MEDICARE: PLAY TO LEARN DEVELOPMENTAL THERAPY 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
1	222Q00000X	Developmental Therapist
2	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1699610816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAY TO LEARN DEVELOPMENTAL THERAPY LLC

Provider Business Mailing Address
First Line	:	2653 E 78TH ST APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-1055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2653 E 78TH ST APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-1055
Country	:	US
Telephone Number	:	773-355-9281
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CELESTE MCGEE
Credential	:
Telephone Number	:	773-355-9281

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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