Organization
CITY KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KACY HERTZ PT (PRESIDENT/CO-OWNER)
(773) 467-5669
Entity
Organization
Contact information
Practice address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
(773) 467-5669
(773) 631-2926
Mailing address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
(773) 467-5669
(773) 631-2926
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619276
BCBSIL PROVIDER ID NUMBER
IL
Enumeration date
07/10/2006
Last updated
09/11/2025
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