Organization
BIG WONDERS INC
Active
Organization
BIG WONDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LANDAVERRY (MANAGER)
(773) 724-1363
Entity
Organization
Contact information
Practice address
5226 W DEMING PL, CHICAGO, IL 60639-4395
(773) 766-7616
Mailing address
5226 W DEMING PL, CHICAGO, IL 60639-4395
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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