Organization Active NPI

Elite Therapy Solutions Inc.

  • Developmental Disabilities Clinic/Center
  • Oak Forest, IL
National Provider Identifier
1174098081
Registry record updated Oct 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ELITE THERAPY SOLUTIONS INC.
Practice address
5320 159TH St Ste 400
Oak Forest, IL 60452-3334
Phone
(773) 387-1477
NPI assigned
Oct 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward Whittaker
Title
VP
Phone
(773) 387-1477

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

5320 159TH St Ste 400
Oak Forest, IL 60452-3334

Mailing address

15128 S la Grange Rd Unit 2694
Orland Park, IL 60462-8530
Phone (773) 387-1477

National Provider Directory

National Provider Directory

Locations

5320 159th St
Ste 400
Oak Forest, IL 60452
Phone (708) 207-0127

15128 S La Grange Rd
Unit 2694
Orland Park, IL 60462

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538784000000",
    "number": "1174098081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15128 S LA GRANGE RD UNIT 2694",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604628530",
            "telephone_number": "773-387-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 400",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523334",
            "telephone_number": "773-387-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPY SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-06",
        "last_updated": "2018-10-06",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "773-387-1477"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.