Organization
EYAS LANDING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA MRAZ OTD (OWNER)
(312) 733-0883
Entity
Organization
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
(312) 253-1440
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
(312) 253-1440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
056009137
IL
Other
Enumeration date
10/20/2010
Last updated
04/16/2025
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