Organization Active NPI

Educare Early Intervention

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1568959005
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
LA82680110P Issued in IL
Legal business name
EDUCARE EARLY INTERVENTION
Practice address
3473 S King Dr
Chicago, IL 60616-4108
Phone
(773) 474-4188
NPI assigned
Apr 19, 2018
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Leticia Renee Adams, MS EDNPI 1750610648
Title
Developmental Therapist
Phone
(630) 882-0223

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: 193400000X SINGLE SPECIALTY GROUP 222Q00000X LA82680110P IL Primary

Addresses

Primary practice location

3473 S King Dr
Chicago, IL 60616-4108

Mailing address

3473 S King Dr
Chicago, IL 60616-4108
Phone (773) 474-4188

National Provider Directory

National Provider Directory

Locations

3473 S King Dr
Chicago, IL 60616
Phone (773) 474-4188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1568959005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164108",
            "telephone_number": "773-474-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164108",
            "telephone_number": "773-474-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "630-882-0223",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "LA82680110P",
            "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 May 30, 2024; 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.