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

South Loop Pediatric Therapy LLC

Organization Pediatric Physical Therapist · NPI 1356677462

South Loop Pediatric Therapy LLC is a Pediatric Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2
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

1515 S Prairie Ave Unit 603
Chicago, IL 60605-3043
Phone: (773) 733-1695
Fax: (773) 435-6595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 070.013558 (IL)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 070.013558 (IL)

Record details

NPI number1356677462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jana Susie — Physical Therapist · (773) 733-1695
NPI enumeratedOctober 23, 2009
Last updated in NPPESOctober 23, 2009
Mailing address1515 S Prairie Ave, Unit 603, Chicago, IL 60605-3043

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