Organization
CITY KIDS INC
Active
Organization
CITY KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACY HERTZ (OWNER/PHYSICAL THERAPIST)
(773) 467-5669
Entity
Organization
Contact information
Practice address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
(773) 467-5669
Mailing address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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