Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Pediatric Therapy LLC

Organization Pediatric Physical Therapist · NPI 1659888931

Evergreen Pediatric Therapy LLC is a Pediatric Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1803 N California Ave
Chicago, IL 60647-5105
Phone: (217) 549-4507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.0009085 (IL)
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1659888931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Songer — Owner/Speech-Language Pathologist · (217) 549-4507
NPI enumeratedJanuary 8, 2018
Last updated in NPPESJanuary 8, 2018
Mailing address3500 W Evergreen Ave, Chicago, IL 60651

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