Pediatric Therapy of Illinois LLC

NPI #1760863476 in Elmhurst, Illinois

Provider Information

NPI Number: 1760863476
Entity Type: Organization
Organization Name: Pediatric Therapy of Illinois LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 18, 2015
Last Updated: Jun 18, 2015

Practice Location

Address: 325 N LARCH AVE
City: Elmhurst
State: Illinois
ZIP Code: 60126-2311
Phone: (630) 415-6850

Authorized Official

Name: DIANE DEJONG, DT
Title: MEMBER
Phone: (630) 415-6850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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