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General NPI Number Information
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NPI Number | 1033254347
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Entity Type | Organization
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Legal Business Name | OAK LEYDEN DEVELOPMENTAL SERVICES
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 411 CHICAGO AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2233
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Country | US
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Telephone | 708-524-1050
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Fax | 708-524-2469
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Provider Business Mailing Address
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Address Line | 411 CHICAGO AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2233
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Country | US
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Telephone | 708-524-1050
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Fax | 708-524-2469
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Authorized Official
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Title or Position | DIRECTOR OF CHILDREN SERVICES
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Name | MELISSA EHMANN
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Credential |
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Telephone | 708-524-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070002012
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070004000
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070011242
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070008117
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056003098
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056001573
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146008395
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146005747
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146008122
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146008222
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License Number State | IL
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Taxonomy #13
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146003481
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License Number State | IL
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