Organization
CHICAGOLAND THERAPY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN R GAINES GTR L (PRESIDENT)
(847) 835-0660
Entity
Organization
Contact information
Practice address
111 HOGARTH LN, BOX 417, GLENCOE, IL 60022-1325
(847) 835-0660
(847) 835-0670
Mailing address
111 HOGARTH LN, PO BOX 417, GLENCOE, IL 60022-1325
(847) 835-0660
(847) 835-0670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
06/12/2008
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