Healthcare Provider Details

I. General information

NPI: 1083825111
Provider Name (Legal Business Name): MULTIPLE MIRACLES THERAPEUTIC SERVICES L.L.C,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 W ARTHINGTON ST STE 230
CHICAGO IL
60624-4102
US

IV. Provider business mailing address

3510 W ARTHINGTON ST
CHICAGO IL
60624-4105
US

V. Phone/Fax

Practice location:
  • Phone: 773-826-3146
  • Fax:
Mailing address:
  • Phone: 773-619-2602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. BARBARA ANN DEER
Title or Position: PRESIDENT -SPEECH PATHOLOGIST
Credential: M.A,, CCC-SLP-L
Phone: 773-619-2602