Innovative Pediatrics LLC
Innovative Pediatrics LLC is a Pediatric Occupational Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1048 W Lawrence Ave #1Chicago, IL 60640-6544
Phone: (773) 968-7871
Fax: (773) 561-6815
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X (IL) |
|---|
Record details
| NPI number | 1841336922 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Mattson — Llc Manager · (773) 968-7871 |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | February 6, 2008 |
| Mailing address | Po Box 408799, Chicago, IL 60640-8799 |
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MS. Jacqueline Jensen, OTRL
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