Active NPI
Elite Therapy Solutions Inc.
- Developmental Disabilities Clinic/Center
- Oak Forest, IL
National Provider Identifier
1174098081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.