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Organization

CHICAGO KIDS THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QUINN NIEGO (OWNER)
(773) 998-8400
Entity
Organization

Contact information

Practice address
1765 N ELSTON AVE STE 206, CHICAGO, IL 60642-1501
(773) 998-8400
Mailing address
1765 N ELSTON AVE STE 206, CHICAGO, IL 60642-1501
(773) 998-8400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
03/10/2019
Last updated
03/10/2019
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