Organization
SOUTH LOOP PEDIATRIC THERAPY LLC
Active
Organization
SOUTH LOOP PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA MARLENE SUSIE P.T. (PHYSICAL THERAPIST)
(773) 733-1695
Entity
Organization
Contact information
Practice address
1515 S PRAIRIE AVE, UNIT 603, CHICAGO, IL 60605-3043
(773) 733-1695
(773) 435-6595
Mailing address
1515 S PRAIRIE AVE, UNIT 603, CHICAGO, IL 60605-3043
(773) 733-1695
(773) 435-6595
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.013558
IL
252Y00000X
Early Intervention Provider Agency
070.013558
IL
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up