Organization
MOSAIC CHILDHOOD PROJECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L MCCARTHY MS CCC/SLP (PRESIDENT)
(773) 575-6215
Entity
Organization
Contact information
Practice address
1333 W NORTH SHORE AVE, 3N, CHICAGO, IL 60626-4767
(773) 575-6215
(773) 341-7376
Mailing address
1333 W NORTH SHORE AVE, 3N, CHICAGO, IL 60626-4767
(773) 575-6215
(773) 341-7376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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