EVOLA PEDIATRIC THERAPY NPI 1417221854

NPI Information

NPI: 1417221854
Provider Name: EVOLA PEDIATRIC THERAPY
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1820 W WEBSTER AVE
CHICAGO, IL
ZIP 60614
Phone: (847) 971-3771
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EVOLA PEDIATRIC THERAPY is a rehabilitation clinic center in Chicago, IL. EVOLA PEDIATRIC THERAPY NPI is 1417221854. The provider is registered as an organization entity type.

The provider's business location address is:

1820 W WEBSTER AVE
CHICAGO, IL
ZIP 60614-934
Phone: (847) 971-3771

The provider's authorized official is Angela Evola Escher .
The authorized official title is President and has the following contact phone number (847) 971-3771.

The enumeration date for this NPI number is 3/2/2012 and was last updated on 3/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	056007626	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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