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General NPI Number Information
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NPI Number | 1497727143
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Entity Type | Organization
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Legal Business Name | THERAPEDS INTERVENTION SERVICES, INC
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1409 N RIDGEWAY AVE
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City | CHICAGO
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State | IL
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Zip | 60651-2160
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Country | US
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Telephone | 773-818-3535
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Fax | 866-391-1051
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Provider Business Mailing Address
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Address Line | 1409 N RIDGEWAY AVE
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City | CHICAGO
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State | IL
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Zip | 60651-2160
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Country | US
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Telephone | 773-818-3535
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Fax | 866-391-1051
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Authorized Official
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Title or Position | FOUNDER/PHYSICAL THERAPIST
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Name | MS. HOA TU
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Credential | PT
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Telephone | 773-818-3535
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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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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 070-011157
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License Number State | IL
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