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

Lakeside Specialized Pediatric Occupational Therapy PLLC

Organization Occupational Therapist · NPI 1033002910

Lakeside Specialized Pediatric Occupational Therapy PLLC is an Occupational Therapist in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

812 W Lill Ave Apt 2
Chicago, IL 60614-0118
Phone: (312) 342-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1033002910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Holzschu — Ms Otr · (312) 342-9933
NPI enumeratedMay 30, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address812 W Lill Ave Apt 2, Chicago, IL 60614-0118

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