Healthcare Provider Details

I. General information

NPI: 1003748245
Provider Name (Legal Business Name): INTERTHERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 W LUNT AVE APT 3E
CHICAGO IL
60626-2849
US

IV. Provider business mailing address

1420 W LUNT AVE APT 3E
CHICAGO IL
60626-2849
US

V. Phone/Fax

Practice location:
  • Phone: 224-595-2045
  • Fax:
Mailing address:
  • Phone: 224-595-2045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: HUMBERTO ANTONIO SCHIAPPA OLMOS
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 224-595-2045