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General NPI Number Information
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NPI Number | 1770156994
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Entity Type | Organization
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Legal Business Name | PLAYFUL PEDIATRICS LLC
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Dates
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Enumeration Date | 07/24/2021
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 21201 S ELSNER RD UNIT 3
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City | FRANKFORT
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State | IL
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Zip | 60423-4501
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Country | US
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Telephone | 708-805-0173
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Fax | 708-694-7008
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Provider Business Mailing Address
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Address Line | 21201 S ELSNER RD
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City | FRANKFORT
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State | IL
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Zip | 60423-4730
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Country | US
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Telephone | 708-805-0173
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Fax | 708-694-7008
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MARY KATHLEEN KUCHTA
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Credential | MS, OTR/L
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Telephone | 708-805-0173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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