Imagination Therapy, Llc

LBN: Imagination Therapy, Llc
Imagination Therapy, Llc is an health care organization with primary practice located at 805 Lake St # 235 , Oak Park IL 60301-1301. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Imagination Therapy, Llc can be contacted via phone (708) 305-2176, or through Wilkie, Katherine M via phone (708) 305-2176.

Contact Information

Primary practice address
805 Lake St # 235 Oak Park IL 60301-1301
Phone: (708) 305-2176
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkie, Katherine M MS, CCC-SLP
Phone: (708) 305-2176

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.011712 Illinois

Profile Details

NPI number 1235646894
LBN Legal business name Imagination Therapy, Llc
DBA Doing business as
Authorized official Wilkie, Katherine M MS, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2018
Last updated Mar 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235646894 NPPES
Illinois MEDICAID 1154756443

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