Organization
LET'S GROW, INC.
Active
Other names
Kids on the Grow
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MC KINLEY (MANAGER)
(773) 248-4769
Entity
Organization
Contact information
Practice address
2157 N DAMEN AVE STE 2C, CHICAGO, IL 60647-6916
(773) 278-4769
(773) 303-8426
Mailing address
2157 N DAMEN AVE, CHICAGO, IL 60647-6916
(773) 278-4769
(773) 303-8426
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QX0100X
Occupational Medicine Clinic/Center
056.010363
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.010363
STATE LICENSE
IL
Enumeration date
11/20/2013
Last updated
06/25/2024
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