Active NPI
Educare Early Intervention
- Developmental Therapist
- Chicago, IL
National Provider Identifier
1568959005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- LA82680110P
- 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, 2024
- 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
- Leticia Renee Adams, MS ED
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 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 DirectoryLocations
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.
-
- Developmental Therapist
- Chicago, IL
- NPI 1750610648
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.