Ezekiel Early Intervention Services L.l.c.

NPI #1265390348 in Forest Park, Illinois

Provider Information

NPI Number
1265390348
Entity Type
Organization
Organization Name
Ezekiel Early Intervention Services L.l.c.
Primary Specialty
Developmental Therapist
Enumeration Date
Jan 15, 2026
Last Updated
Jan 15, 2026

Practice Location

Address
7445 ROOSEVELT RD APT 7445
ZIP Code
60130-2555
Phone
(773) 850-5543

Authorized Official

Name
LANETA CHANELLE JOHNSON, DT
Title
DEVELOPMENTAL THERAPIST
Phone
(773) 850-5543

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