Organization
EMPOWERING LIGHT LANGUAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRIS RIVAS M.A. (SPEECH LANGUAGE PATHOLOGIST)
(847) 567-4978
Entity
Organization
Contact information
Practice address
1851 W GREENLEAF AVE, #1, CHICAGO, IL 60626-2303
(847) 567-4978
Mailing address
1851 W GREENLEAF AVE, #1, CHICAGO, IL 60626-2303
(847) 567-4978
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
146009236
IL
252Y00000X
Early Intervention Provider Agency
146009236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457672644
—
IL
Enumeration date
09/23/2015
Last updated
09/23/2015
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