MEDICARE: PURPOSEFUL PLAY, INC,

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	225XP0200X	Pediatric Occupational Therapist		IL

General Provider Information

NPI Number	:	1336284876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSEFUL PLAY, INC,

Provider Business Mailing Address
First Line	:	1910 S STATE ST APT 232
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-4424
Country	:	US
Telephone Number	:	773-330-9348
Fax Number	:	773-913-6188

Provider Business Practice Location Address
First Line	:	1910 S STATE ST APT 232
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-4424
Country	:	US
Telephone Number	:	773-330-9348
Fax Number	:	773-913-6188

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RHONDA SCHLEIS
Credential	:	OTR
Telephone Number	:	773-330-9348

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

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Directions to “PURPOSEFUL PLAY, INC, ” Practice Location

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