Organization
GRAFTON PEDIATRIC COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL BELK (OWNER)
(773) 750-5946
Entity
Organization
Contact information
Practice address
3747 S MICHIGAN AVE UNIT 2, CHICAGO, IL 60653-1641
(773) 750-5946
Mailing address
3747 S MICHIGAN AVE UNIT 2, CHICAGO, IL 60653-1641
(773) 750-5946
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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