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Organization

LAKESIDE SPECIALIZED PEDIATRIC OCCUPATIONAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA HOLZSCHU (MS OTR/:)
(312) 342-9933
Entity
Organization

Contact information

Practice address
812 W LILL AVE APT 2, CHICAGO, IL 60614-0118
(312) 342-9933
Mailing address
812 W LILL AVE APT 2, CHICAGO, IL 60614-0118
(312) 342-9933

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/30/2025
Last updated
07/22/2025
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