Pediasource Therapy Specialists

LBN: Pediasource Therapy Specialists
Pediasource Therapy Specialists is an health care organization with primary practice located at 2530 N Lincoln Ave Ste 114 , Chicago IL 60614-2479. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Pediasource Therapy Specialists can be contacted via phone (773) 988-9905, or through Trukenbrod, Hema Raj via phone (773) 988-9905.

Contact Information

Primary practice address
2530 N Lincoln Ave Ste 114 Chicago IL 60614-2479
Phone: (773) 988-9905
Fax: (773) 404-1774
Website:
Map and Directions
Authorized official contact:
Name: Trukenbrod, Hema Raj OTRL
Phone: (773) 988-9905

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1891909594
LBN Legal business name Pediasource Therapy Specialists
DBA Doing business as
Authorized official Trukenbrod, Hema Raj OTRL
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Aug 22nd, 2020 - about 4 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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