Achieve Pediatric Therapy
Speech-Language Pathologist, in Chicago, IL. Organization (NPI-2).
NPI number1427642446
StatusActive
Last updated in NPPESApr 29, 2021
Details
- NPI
- 1427642446
- Entity type
- Organization (NPI-2)
- Legal business name
- Achieve Pediatric Therapy
- Organization subpart
- No
- Enumeration date
- Feb 22, 2021
- Certification date
- Apr 29, 2021
- Last updated
- Apr 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
6137 N Bernard StChicago, IL 60659-2211
Phone 877-522-4438 · Fax 855-673-0845
Mailing address
6137 N Bernard StChicago, IL 60659-2211
Phone 877-522-4438 · Fax 855-673-0845
Authorized official
Basie Goldfeder
Clinical Director
8478686531
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