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General NPI Number Information
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NPI Number | 1386507820
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Entity Type | Organization
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Legal Business Name | BELK DEVELOPMENTAL THERAPY, LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3519 CHESTNUT DR
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City | HAZEL CREST
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State | IL
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Zip | 60429-1044
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Country | US
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Telephone | 312-371-4024
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Fax |
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Provider Business Mailing Address
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Address Line | 3519 CHESTNUT DR
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City | HAZEL CREST
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State | IL
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Zip | 60429-1044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL BELK
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Credential |
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Telephone | 312-371-4024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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