Organization
HOME GROWN PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAETLIN L ROMBERG M.ED. (OWNER/ THERAPIST)
(815) 641-0435
Entity
Organization
Contact information
Practice address
808 N CLEVELAND AVE APT 711, CHICAGO, IL 60610-3663
(815) 641-0435
Mailing address
808 N CLEVELAND AVE APT 711, CHICAGO, IL 60610-3663
(815) 641-0435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/25/2024
Last updated
03/07/2025
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