Organization
CSQUARED PEDIATRIC DEVELOPMENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISHON R. PARKER MA (DIRECTOR/DEVELOPMENTAL THERAPIST)
(866) 450-8777
Entity
Organization
Contact information
Practice address
1448 E 52ND ST, SUITE #161, CHICAGO, IL 60615-4122
(866) 450-8777
(877) 588-6007
Mailing address
1448 E 52ND ST, SUITE #161, CHICAGO, IL 60615-4122
(866) 450-8777
(877) 588-6007
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
CW71491203P
IL
Other
Enumeration date
07/25/2007
Last updated
04/04/2011
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