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NPI Code Detail

MEDICARE: MEETING MILESTONES LLC

MEDICARE: MEETING MILESTONES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist
2235Z00000XSpeech-Language Pathologist
3225X00000XOccupational TherapistIL

General Provider Information

NPI Number : 1114101532
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEETING MILESTONES LLC
Provider Business Mailing Address
First Line : 3422 W 73RD PL
Second Line :
City : CHICAGO
State : IL
Zip : 60629-3514
Country : US
Telephone Number : 773-206-7122
Fax Number : 773-288-8395
Provider Business Practice Location Address
First Line : 3422 W 73RD PL
Second Line :
City : CHICAGO
State : IL
Zip : 60629-3514
Country : US
Telephone Number : 773-206-7122
Fax Number : 773-298-8395
Authorized Official
Title or Position : CEO
Name : KEENA HOYLE
Credential : OT
Telephone Number : 773-206-7122
Provider Enumeration Date : 12/20/2007
Last Update Date : 12/20/2007

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Directions to “MEETING MILESTONES LLC ” Practice Location

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