Organization
ELITE IMPACT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE FRAZIER (OWNER)
(708) 466-9716
Entity
Organization
Contact information
Practice address
7610 S MAY ST. APT.1, CHICAGO, IL 60620
(708) 466-9716
Mailing address
10735 S WESTERN AVE, STE 6 #234, CHICAGO, IL 60643
(708) 466-9716
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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