Evergreen Pediatric Therapy Llc

LBN: Evergreen Pediatric Therapy Llc
Evergreen Pediatric Therapy Llc is an health care organization with primary practice located at 1803 N California Ave , Chicago IL 60647-5105. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Evergreen Pediatric Therapy Llc can be contacted via phone (217) 549-4507, or through Songer, Leah via phone (217) 549-4507.

Contact Information

Primary practice address
1803 N California Ave Chicago IL 60647-5105
Phone: (217) 549-4507
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Songer, Leah M.A., CCC-SLP
Phone: (217) 549-4507

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.0009085 Illinois

Profile Details

NPI number 1659888931
LBN Legal business name Evergreen Pediatric Therapy Llc
DBA Doing business as
Authorized official Songer, Leah M.A., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2018
Last updated Jan 8th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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