Organization
PEDIATRIC THERAPY HOME CARE,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AGATA RAGAN (OFFICE MANAGER)
(773) 814-2670
Entity
Organization
Contact information
Practice address
933 W STONEHEDGE DR, ADDISON, IL 60101-3172
(773) 814-2670
Mailing address
933 W STONEHEDGE DR, ADDISON, IL 60101-3172
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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