# PEAK PERFORMANCE LAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356208094
- **Authorized official:** JONATHAN CRUZ OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (773) 712-6890

## Contact information

- **Practice address:** 1163 N STATE ST, CHICAGO, IL 60610-2722
- **Practice address phone:** (773) 712-6890
- **Mailing address:** 6911 JUNIPER ST, HANOVER PARK, IL 60133-3506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2026
- **Last updated:** 02/09/2026