MEDICARE: BRIGHT STEPS THERAPY NETWORK IL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1770414344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT STEPS THERAPY NETWORK IL LLC

Provider Business Mailing Address
First Line	:	2828 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5775
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5775
Country	:	US
Telephone Number	:	516-999-9999
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	NICOLE FAUQUIER
Credential	:	SLP
Telephone Number	:	847-977-9853

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “BRIGHT STEPS THERAPY NETWORK IL LLC ” Practice Location

Language	Start Address	Practice Location

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