Organization
OWLLIGHT THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAINA DAOUD (CHIEF OPERATING OFFICER)
(708) 949-0746
Entity
Organization
Contact information
Practice address
7222 W CERMAK RD STE 500, NORTH RIVERSIDE, IL 60546-1443
(866) 695-2221
(866) 695-2221
Mailing address
3617 DORA ST, FRANKLIN PARK, IL 60131-1613
(708) 949-0746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
IL
Enumeration date
11/19/2021
Last updated
08/31/2022
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