Organization
KIDS UNLIMITED THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T KREIS OTR/L (MEMBER)
(708) 557-2383
Entity
Organization
Contact information
Practice address
820 NORTH BLVD, OAK PARK, IL 60301-1351
(708) 524-2445
(708) 524-2443
Mailing address
820 NORTH BLVD, OAK PARK, IL 60301-1351
(708) 524-2445
(708) 524-2443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070004337
IL
225X00000X
Occupational Therapist
Primary
056001950
IL
235Z00000X
Speech-Language Pathologist
146009759
IL
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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