South Loop Pediatric Therapy Llc
LBN: South Loop Pediatric Therapy Llc
South Loop Pediatric Therapy Llc is an health care organization with primary practice located at 1515 S Prairie Ave Unit 603, Chicago IL 60605-3043. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Agencies / Early Intervention Provider Agency. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty.
South Loop Pediatric Therapy Llc can be contacted via phone (773) 733-1695, or through Susie, Jana Marlene via phone (773) 733-1695.
Contact Information
Primary practice address
1515 S Prairie Ave Unit 603
Chicago IL 60605-3043
Phone: (773) 733-1695
Fax: (773) 435-6595
Website:
Authorized official contact:
Name: Susie, Jana Marlene Physical Therapist (PT)
Phone: (773) 733-1695
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 070.013558 | Illinois |
| Agencies / Early Intervention Provider Agency | 252Y00000X | 070.013558 | Illinois |
Profile Details
| NPI number | 1356677462 |
|---|---|
| LBN Legal business name | South Loop Pediatric Therapy Llc |
| DBA Doing business as | |
| Authorized official | Susie, Jana Marlene Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2009 |
| Last updated | Oct 23rd, 2009 - about 17 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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