Organization Active NPI

Ezekiel Early Intervention Services L.L.C.

  • Developmental Therapist
  • Forest Park, IL
National Provider Identifier
1265390348
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
EZEKIEL EARLY INTERVENTION SERVICES L.L.C.
Practice address
7445 Roosevelt Rd Apt 7445
Forest Park, IL 60130-2555
Phone
(773) 850-5543
Fax
(773) 850-5543
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Laneta Chanelle Johnson, DTNPI 1992441133
Title
Developmental Therapist
Phone
(773) 850-5543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

7445 Roosevelt Rd Apt 7445
Forest Park, IL 60130-2555

Mailing address

7445 Roosevelt Rd Apt 206-B
7445
Forest Park, IL 60130-2555
Phone (773) 850-5543

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1265390348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 ROOSEVELT RD APT 206-B",
            "address_2": "7445",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302555",
            "telephone_number": "773-850-5543",
            "fax_number": "773-850-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ROOSEVELT RD APT 7445",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302555",
            "telephone_number": "773-850-5543",
            "fax_number": "773-850-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZEKIEL EARLY INTERVENTION SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LANETA",
        "authorized_official_middle_name": "CHANELLE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "773-850-5543",
        "authorized_official_credential": "DT"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.