4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640

LBN: 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640
4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 is an health care organization with primary practice located at 4619 N Ravenswood Ave Ste 204 , Chicago IL 60640-4579. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as the primary health care specialty. 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 can be contacted via phone (773) 697-7333, or through E Horowitz, Maya Elena via phone (773) 797-4155.

Contact Information

Primary practice address
4619 N Ravenswood Ave Ste 204 Chicago IL 60640-4579
Phone: (773) 697-7333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: E Horowitz, Maya Elena COTA/L
Phone: (773) 797-4155

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X

Profile Details

NPI number 1992481246
LBN Legal business name 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640
DBA Doing business as
Authorized official E Horowitz, Maya Elena COTA/L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2023
Last updated Jun 22nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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