Organization
PACE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA L MURPHY M.S., OTR/L (OWNER)
(708) 790-4834
Entity
Organization
Contact information
Practice address
6341 KEOKUK RD, INDIAN HEAD PARK, IL 60525-4341
(708) 790-4834
Mailing address
6341 KEOKUK RD, INDIAN HEAD PARK, IL 60525-4341
(708) 790-4834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
056004383
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306809461001
—
IL
Enumeration date
04/17/2007
Last updated
12/03/2024
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