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General NPI Number Information
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NPI Number | 1255400255
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND EARLY INTERVENTION LTD
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 6006 159TH STREET BUILDING-B, 2ND FLOOR
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City | OAK FOREST
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State | IL
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Zip | 60452-2904
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Country | US
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Telephone | 708-535-0933
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Fax | 708-614-9435
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Provider Business Mailing Address
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Address Line | 31 PINE NEEDLES DR
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City | LEMONT
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State | IL
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Zip | 60439-7741
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Country | US
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Telephone | 708-296-2209
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Fax | 708-393-4681
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PRAKASH C NAVNI
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Credential | D.P.T.
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Telephone | 708-535-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 57000083
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 57000485
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 57000991
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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 |
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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 |
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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 |
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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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 |
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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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 |
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | IL
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