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NPI Code Detail

MEDICARE: EDULOGOS LTD

MEDICARE: EDULOGOS LTD
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
1103T00000XPsychologist
2222Q00000XDevelopmental Therapist
3224Z00000XOccupational Therapy Assistant
4225100000XPhysical Therapist
5225X00000XOccupational Therapist
6235Z00000XSpeech-Language Pathologist
7252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1760702849
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDULOGOS LTD
Provider Business Mailing Address
First Line : 4515 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-3711
Country : US
Telephone Number : 773-656-3016
Fax Number : 773-729-2232
Provider Business Practice Location Address
First Line : 4515 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-3711
Country : US
Telephone Number : 773-656-3016
Fax Number : 773-729-2232
Authorized Official
Title or Position : PRESIDENT
Name : MR. MAGDALENA MARSZALEK
Credential :
Telephone Number : 312-671-4111
Provider Enumeration Date : 06/10/2010
Last Update Date : 06/16/2025

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Directions to “EDULOGOS LTD ” Practice Location

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