Organization
CHILDREN'S THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARGARITA GIBSON COTA (PART OWNER)
(312) 600-8493
Entity
Organization
Contact information
Practice address
8729 S COMMERCIAL, CHICAGO, IL 60617
(312) 600-8493
(708) 575-6882
Mailing address
2946 189TH PL, LANSING, IL 60438-3426
(708) 955-2213
(708) 575-6882
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
056007283
IL
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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