Healthcare Provider Details

I. General information

NPI: 1336615145
Provider Name (Legal Business Name): SUZUKI-ORFF SCHOOL FOR YOUNG MUSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1148 W CHICAGO AVE
CHICAGO IL
60642-5701
US

IV. Provider business mailing address

1148 W CHICAGO AVE
CHICAGO IL
60642-5701
US

V. Phone/Fax

Practice location:
  • Phone: 312-738-2646
  • Fax:
Mailing address:
  • Phone: 312-738-2646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: TROY ANDERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 312-738-2646