Organization
ASPIRE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-PRESTON BOSHER PT, DPT (ASSOC. DIR. OF PEDIATRIC THERAPIES)
(708) 236-0979
Entity
Organization
Contact information
Practice address
1815 S WOLF RD, HILLSIDE, IL 60162
(708) 236-0979
(708) 236-5161
Mailing address
1815 S WOLF RD, HILLSIDE, IL 60162-2110
(708) 236-0979
(708) 236-5161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/21/2007
Last updated
06/07/2018
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