Organization
IN2GREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELIA HARISIADIS (OWNER)
(847) 777-8995
Entity
Organization
Contact information
Practice address
1371 ABBOTT CT, BUFFALO GROVE, IL 60089-2367
(847) 777-8995
(847) 947-2890
Mailing address
1371 ABBOTT CT, BUFFALO GROVE, IL 60089-2367
(847) 409-8015
(847) 947-2890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
056007610
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/24/2012
Last updated
08/08/2024
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