Organization Active NPI

Positive Learning Source, LLC

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1245518562
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
POSITIVE LEARNING SOURCE, LLC
Practice address
4503 N Oakley Ave
Chicago, IL 60625-2164
Phone
(312) 718-7711
Fax
(312) 246-4044
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Catherine Bosse
Title
Developmental Therapist
Phone
(312) 718-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

4503 N Oakley Ave
Chicago, IL 60625-2164

Mailing address

4503 N Oakley Ave
Chicago, IL 60625-2164
Phone (312) 718-7711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1245518562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252164",
            "telephone_number": "312-718-7711",
            "fax_number": "312-246-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252164",
            "telephone_number": "312-718-7711",
            "fax_number": "312-246-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE LEARNING SOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "BOSSE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "312-718-7711"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.