Organization
NORTH SHORE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA HAMMER (CEO)
(224) 521-1176
Entity
Organization
Contact information
Practice address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025
(877) 486-4140
(847) 486-4145
Mailing address
950 LEE STREET, SUITE 210, DES PLAINES, IL 60016
(877) 486-4140
(847) 486-4145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
IL
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/12/2006
Last updated
07/25/2017
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