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NPI Code Detail

MEDICARE: ON THE GO PEDIATRIC THERAPY

MEDICARE: ON THE GO PEDIATRIC THERAPY
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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962149518
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON THE GO PEDIATRIC THERAPY
Provider Business Mailing Address
First Line : 1724 JULIET LN
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-4427
Country : US
Telephone Number : 815-323-8386
Fax Number :
Provider Business Practice Location Address
First Line : 3105 N WILKE RD STE N
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1450
Country : US
Telephone Number : 224-513-0613
Fax Number : 847-510-0491
Authorized Official
Title or Position : MANAGER
Name : DR. CLARE LOKSA
Credential : PT, DPT
Telephone Number : 224-513-0613
Provider Enumeration Date : 05/16/2022
Last Update Date : 04/10/2026

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Directions to “ON THE GO PEDIATRIC THERAPY ” 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.

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