Provider Demographics
NPI:1063885267
Name:ENCOURAGE PEDIATRIC THERAPY SERVICES LLC
Entity type:Organization
Organization Name:ENCOURAGE PEDIATRIC THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:773-474-3588
Mailing Address - Street 1:309 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3507
Mailing Address - Country:US
Mailing Address - Phone:773-474-3588
Mailing Address - Fax:773-897-6696
Practice Address - Street 1:309 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-3507
Practice Address - Country:US
Practice Address - Phone:773-474-3588
Practice Address - Fax:773-897-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL248001135056007070252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency