Healthcare Provider Details

I. General information

NPI: 1962149518
Provider Name (Legal Business Name): ON THE GO PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 N WILKE RD STE N
ARLINGTON HEIGHTS IL
60004-1450
US

IV. Provider business mailing address

1724 JULIET LN
LIBERTYVILLE IL
60048-4427
US

V. Phone/Fax

Practice location:
  • Phone: 224-513-0613
  • Fax: 847-510-0491
Mailing address:
  • Phone: 815-323-8386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CLARE LOKSA
Title or Position: MANAGER
Credential: PT, DPT
Phone: 224-513-0613