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Organization
ELITE THERAPY SOLUTIONS INC.
Active
Organization
ELITE THERAPY SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WHITTAKER (VP)
(773) 387-1477
Entity
Organization
Contact information
Practice address
5320 159TH ST STE 400, OAK FOREST, IL 60452-3334
(773) 387-1477
Mailing address
15128 S LA GRANGE RD UNIT 2694, ORLAND PARK, IL 60462-8530
(773) 387-1477
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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