Organization
BRIDGING THE GAP REHAB SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON CAMPOS (OWNER)
(773) 240-5377
Entity
Organization
Contact information
Practice address
9624 S CICERO AVE # 341, OAK LAWN, IL 60453-3138
(773) 240-5377
Mailing address
9624 S CICERO AVE # 341, OAK LAWN, IL 60453-3138
(773) 240-5377
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
08/05/2025
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