Organization
PLAYFUL PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN KUCHTA MS, OTR/L (OCCUPATIONAL THERAPIST)
(708) 805-0173
Entity
Organization
Contact information
Practice address
21201 S ELSNER RD UNIT 3, FRANKFORT, IL 60423-4501
(708) 805-0173
(708) 694-7008
Mailing address
21201 S ELSNER RD, FRANKFORT, IL 60423-4730
(708) 805-0173
(708) 694-7008
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/24/2021
Last updated
04/02/2025
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