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NPI Code Detail

MEDICARE: SPEED EARLY LEARNING CENTER

MEDICARE: SPEED EARLY LEARNING CENTER
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
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101633193OTHERILPIN#

General Provider Information

NPI Number : 1205982915
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEED EARLY LEARNING CENTER
Provider Business Mailing Address
First Line : 1125 DIVISION ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2419
Country : US
Telephone Number : 708-481-6101
Fax Number :
Provider Business Practice Location Address
First Line : 1125 DIVISION ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2419
Country : US
Telephone Number : 708-481-6101
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : LUZ ARELLANO
Credential :
Telephone Number : 708-481-6101
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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Directions to “SPEED EARLY LEARNING CENTER ” Practice Location

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