Organization
MINDCORE THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHOK COHEN (MANAGER)
(917) 627-6384
Entity
Organization
Contact information
Practice address
2828 W PRATT BLVD, CHICAGO, IL 60645-4314
(917) 627-6458
Mailing address
2929 W COYLE AVE, CHICAGO, IL 60645-2923
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/05/2018
Last updated
02/17/2020
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