Organization
EL VALOR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN OVERSTREET (VICE PRESIDENT FISCAL OPERATIONS)
(312) 492-5930
Entity
Organization
Contact information
Practice address
1951 W 19TH ST, CHICAGO, IL 60608-2647
(312) 997-2021
(312) 432-9849
Mailing address
1850 W 21ST ST, CHICAGO, IL 60608-2715
(312) 492-5930
(312) 666-0831
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/01/2007
Last updated
04/12/2013
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