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Organization

BLUE BIRD DAY LLC

Active
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Organization

BLUE BIRD DAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA H MRAZ OTD (OWNER)
(312) 733-0883
Entity
Organization

Contact information

Practice address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 733-0883
Mailing address
1233 W ADAMS ST, CHICAGO, IL 60607-2801

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
IL
2251P0200X
Pediatric Physical Therapist
IL
225XP0200X
Pediatric Occupational Therapist
IL
235Z00000X
Speech-Language Pathologist
IL
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
08/12/2015
Last updated
04/15/2026
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