Fundamental Therapy
Fundamental Therapy is an Early Intervention Provider Agency in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
3721 N Richmond StChicago, IL 60618-3524
Phone: (773) 991-9953
Fax: (773) 478-9245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 070012672 (IL) |
|---|
Record details
| NPI number | 1447548557 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kara Boynewicz — Owner · (773) 991-9953 |
| NPI enumerated | July 11, 2011 |
| Last updated in NPPES | July 11, 2011 |
| Mailing address | 3721 N. Richmond, Chicago, IL 60618 |
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