Organization
ACHIEVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIE GOLDFEDER SLP (CLINICAL DIRECTOR)
(847) 868-6531
Entity
Organization
Contact information
Practice address
6137 N BERNARD ST, CHICAGO, IL 60659-2211
(877) 522-4438
(855) 673-0845
Mailing address
6137 N BERNARD ST, CHICAGO, IL 60659-2211
(877) 522-4438
(855) 673-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
04/29/2021
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