Ezekiel Early Childhood Development Center
NPI #1376309641 in Forest Park, Illinois
Provider Information
- NPI Number
- 1376309641
- Entity Type
- Organization
- Organization Name
- Ezekiel Early Childhood Development Center
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Feb 26, 2024
- Last Updated
- Feb 26, 2024
Practice Location
- Address
- 7445 ROOSEVELT RD APT 206-B
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2555
- Phone
- (224) 487-7400
Authorized Official
- Name
- MISS LANETA CHANELLE JOHNSON, DT
- Title
- EARLY INTERVENTION SPECIALIST
- Phone
- (224) 487-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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Individual Providers
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| MS. Jennifer L Kemp, M.S., CCLS, CPST |  AI Deep Dive |
| MRS. Tammie Areatha Durr | AI Deep Dive |
| Laneta Chanelle Johnson, DT | AI Deep Dive |
| MRS. Deanna L. Barowski, MS, CCC-SLP | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Ezekiel Early Intervention Services L.l.c. | AI Deep Dive |
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