# PEDIAPROGRESS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediaprogress
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740439942
- **Authorized official:** MALINDA VASILAKOPOULOS MA (PRESIDENT)
- **Authorized official phone:** (630) 929-0122

## Contact information

- **Practice address:** 1101 31ST ST STE 110, DOWNERS GROVE, IL 60515-5562
- **Practice address phone:** (630) 929-0122
- **Practice address fax:** (630) 729-0134
- **Mailing address:** 1101 31ST ST STE 110, DOWNERS GROVE, IL 60515-5562
- **Mailing address phone:** (630) 929-0122
- **Mailing address fax:** (630) 729-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/16/2020