Organization
KIDS EVOLVE EARLY LLC
Active
Organization
KIDS EVOLVE EARLY LLC
Active
Other names
Kids Evolve Early Development
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LEWIS (OWNER)
(708) 632-1090
Entity
Organization
Contact information
Practice address
6009 S LAFLIN ST, CHICAGO, IL 60636-2309
(708) 632-1090
Mailing address
4193 W CRESTLINE ST, CHICAGO, IL 60652-2923
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
07/21/2022
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