Organization
CHILDREN'S THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI HOLLIS OTR/L (CO-OWNER)
(312) 600-8493
Entity
Organization
Contact information
Practice address
8729 S COMMERCIAL AVE, STORE FRONT, CHICAGO, IL 60617-3221
(312) 600-8493
Mailing address
8729 S COMMERCIAL AVE, STORE FRONT, CHICAGO, IL 60617-3221
(312) 600-8493
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
056007283
IL
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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