Organization
CONCORD THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BERNETT (VICE PRESIDENT OF OPERATIONS)
(773) 463-0693
Entity
Organization
Contact information
Practice address
5061 N PULASKI RD STE 208, CHICAGO, IL 60630-2706
(773) 604-2001
(773) 644-2096
Mailing address
5061 N PULASKI RD STE 208, CHICAGO, IL 60630-2706
(773) 604-2001
(773) 644-2096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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