NPI | 1740439942 |
---|---|
Doing Business As | PEDIAPROGRESS |
Entity Type | Organization |
Authorized Contact | MALINDA VASILAKOPOULOS President 630-929-0122 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 222Q00000X Developmental Therapist |
2251P0200X Physical Therapist, Pediatrics | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2020-09-16 |