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Organization
PEDIAPROGRESS, INC.
Active
Organization
PEDIAPROGRESS, INC.
Active
Other names
Pediaprogress
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA VASILAKOPOULOS MA (PRESIDENT)
(630) 929-0122
Entity
Organization
Contact information
Practice address
1101 31ST ST STE 110, DOWNERS GROVE, IL 60515-5562
(630) 929-0122
(630) 729-0134
Mailing address
1101 31ST ST STE 110, DOWNERS GROVE, IL 60515-5562
(630) 929-0122
(630) 729-0134
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
NULL
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/11/2008
Last updated
09/16/2020
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