Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC
Active
Organization
DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNOLD DONATO (MBR)
(773) 433-3320
Entity
Organization
Contact information
Practice address
401 W LAKE ST, SUITE B-101 CONCORD PLACE, NORTHLAKE, IL 60164-2435
(773) 433-3320
(733) 433-3331
Mailing address
3550 W PETERSON AVE, STE 306, CHICAGO, IL 60659-3270
(773) 433-3320
(773) 433-3331
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers