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Organization
ABC DEVELOPMENTAL PLAY, LTD
Active
Organization
ABC DEVELOPMENTAL PLAY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANASTASIA MARIA VITHOULKAS DT,CHILD SP, SP ED (PRESIDENT)
(708) 261-5786
Entity
Organization
Contact information
Practice address
1500 RAVINIA PL, 1E, ORLAND PARK, IL 60462-3962
(708) 261-5786
(708) 478-6773
Mailing address
18236 CLEAR CREEK XING, ORLAND PARK, IL 60467-5237
(708) 261-5786
(708) 478-6773
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
AV42821006P
IL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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