Organization
CHICAGO PEDIATRIC THERAPY & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MCLEAN PT, DPT, C/NDT (PHYSICAL THERAPIST/OWNER)
(773) 687-9241
Entity
Organization
Contact information
Practice address
1739 N ELSTON AVENUE, CHICAGO, IL 60642-1544
(773) 687-9241
(773) 305-5543
Mailing address
1739 N ELSTON AVENUE, CHICAGO, IL 60642-1544
(773) 687-9241
(773) 305-5543
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225A00000X
Music Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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