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

Pediasource Therapy Specialists

Organization Psychologist · NPI 1891909594

Pediasource Therapy Specialists is a Psychologist in Chicago, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
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Practice location Address checks out

2530 N Lincoln Ave Ste 114
Chicago, IL 60614-2479
Phone: (773) 988-9905
Fax: (773) 404-1774
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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
Psychologist Taxonomy 103T00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1891909594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hema Trukenbrod — President · (773) 988-9905
NPI enumeratedMay 10, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1872 N Clybourn Ave Apt 111, Chicago, IL 60614-4916

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