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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