Autism Clinic Corp

Primary specialty

Drama TherapistTaxonomy code 101200000X

Legal business name

AUTISM CLINIC CORP

Practice address

15349 Black Friars Rd
Orland Park, IL 60462-3877

Phone

(708) 745-2884

NPI assigned

Nov 20, 2025

Organization subpart

No

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

Authorized official

Name

Ronza Samad

Title

RPT

Phone

(708) 745-2884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1477414225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15349 BLACK FRIARS RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623877",
            "telephone_number": "708-745-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15349 BLACK FRIARS RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623877",
            "telephone_number": "708-745-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "SAMAD",
        "authorized_official_first_name": "RONZA",
        "authorized_official_title_or_position": "RPT",
        "authorized_official_telephone_number": "708-745-2884"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Drama Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Drama Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.