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Organization

SHINE EARLY LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGDALENA MARSZALEK SLP/L (SPEECH PATHOLOGIST/ OWNER)
(312) 671-4111
Entity
Organization

Contact information

Practice address
1056 FLORIDA LN, ELK GROVE VILLAGE, IL 60007-2958
(312) 671-4111
Mailing address
1056 FLORIDA LN, ELK GROVE VILLAGE, IL 60007-2958

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
171R00000X
Interpreter
222Q00000X
Developmental Therapist
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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