Healthcare Provider Details

I. General information

NPI: 1477040400
Provider Name (Legal Business Name): DYNAMIC LYNKS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LAKE ST STE LL65
OAK PARK IL
60301-1015
US

IV. Provider business mailing address

1100 LAKE ST STE LL65
OAK PARK IL
60301-1015
US

V. Phone/Fax

Practice location:
  • Phone: 708-620-2373
  • Fax:
Mailing address:
  • Phone: 708-620-2373
  • 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: ALYSSA STONE
Title or Position: PRESIDENT
Credential: MT-BC
Phone: 708-620-2373