MEDICARE: POSITIVE LEARNING SOURCE, 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
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1245518562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE LEARNING SOURCE, LLC

Provider Business Mailing Address
First Line	:	4503 N OAKLEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2164
Country	:	US
Telephone Number	:	312-718-7711
Fax Number	:	312-246-4044

Provider Business Practice Location Address
First Line	:	4503 N OAKLEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2164
Country	:	US
Telephone Number	:	312-718-7711
Fax Number	:	312-246-4044

Authorized Official
Title or Position	:	DEVELOPMENTAL THERAPIST
Name	:	CATHERINE BOSSE
Credential	:
Telephone Number	:	312-718-7711

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	11/30/2012

Similar Medicare Providers

1487009718 — MS. SHARON GRIER-BYRD RN
Practice Location Address:

26230 W CHICAGO
REDFORD, MI
48239-2164

Practice Phone: 248-688-7758
Practice Fax:

1548195498 — AMINA S NIAZ
Practice Location Address:

5140 N CALIFORNIA AVE
CHICAGO, IL
60625-3645

Practice Phone: 773-878-8200
Practice Fax:

1104002872 — DR. RONNIE RANJAN MANDAL D.O,MBA,MS,MT(ASCP)
Practice Location Address:

2740 W FOSTER AVE STE 101
CHICAGO, IL
60625-3547

Practice Phone: 773-545-9500
Practice Fax: 773-961-8339

1992630412 — DR. ALEXA ROSE OBERSTER DO
Practice Location Address:

5140 N CALIFORNIA AVE
CHICAGO, IL
60625-3645

Practice Phone: 773-878-8200
Practice Fax:

1639029762 — HARITHA PONDURI MSN, APRN, FNP-C
Practice Location Address:

5215 N CALIFORNIA AVE FL 7
CHICAGO, IL
60625-7014

Practice Phone: 312-666-3494
Practice Fax:

1891321741 — CATHERINE WANG MD
Practice Location Address:

5140 N CALIFORNIA AVE STE 545
CHICAGO, IL
60625-3660

Practice Phone: 773-907-3038
Practice Fax:

Directions to “POSITIVE LEARNING SOURCE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.