Organization
SMART MOVES PEDIATRICS
Active
Organization
SMART MOVES PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE DENEAN HAYMON OTR/L (OWNER)
(708) 227-6593
Entity
Organization
Contact information
Practice address
7222 W CERMAK RD, SUITE 500, NORTH RIVERSIDE, IL 60546-1422
(708) 442-0023
Mailing address
7222 W CERMAK RD, SUITE 500, NORTH RIVERSIDE, IL 60546-1422
(708) 442-0023
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
2008999
IL
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
Update your record
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