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General NPI Number Information
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NPI Number | 1477998391
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Entity Type | Organization
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Legal Business Name | READY SET GROW PEDIATRIC THERAPY, INC.
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 70 MAGNOLIA DR
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City | STREAMWOOD
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State | IL
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Zip | 60107-3306
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Country | US
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Telephone | 630-263-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 W CUYLER AVE # 2
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City | CHICAGO
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State | IL
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Zip | 60618-3005
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Country | US
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Telephone | 630-263-0111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROLINE L KRAWZAK
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Credential | DPT
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Telephone | 630-263-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 070.016625
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License Number State | IL
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