Organization · NPI-2

Advance Therapy Consultants, LLC

Early Intervention Provider Agency · Oak Forest, IL

NPI number1356600571
StatusActive
Last updated in NPPESMay 8, 2012

Details

NPI
1356600571
Entity type
Organization (NPI-2)
Legal business name
Advance Therapy Consultants, LLC
Organization subpart
No
Enumeration date
May 8, 2012
Last updated
May 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes
222Q00000X Developmental Therapist––
222Z00000X ––
224L00000X Pedorthist––
224Z00000X Occupational Therapy Assistant––
225000000X Orthotic Fitter––
225100000X Physical Therapist––
225200000X Physical Therapy Assistant––
225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner––
225CA2500X Rehabilitation Counselor, Assistive Technology Supplier––
225X00000X Occupational Therapist––
2355S0801X Specialist/Technologist, Speech-Language Assistant––
235Z00000X Speech-Language Pathologist,––
251S00000X Community/Behavioral Health––
253Z00000X In Home Supportive Care––

Practice location

6006 159th St
Building-B, 2nd Floor
Oak Forest, IL 60452-2904

Phone 708-535-0313

Mailing address

15818 Terrace Dr
Unit: Ro2
Oak Forest, IL 60452-2947

Authorized official

Naina Navni
Managing Partner
7085350313

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