Provider Demographics
NPI:1962877159
Name:CHILD FIRST INTERVENTION, INC
Entity type:Organization
Organization Name:CHILD FIRST INTERVENTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALGORZATA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMROZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:773-732-4801
Mailing Address - Street 1:4011 WAGNER AVE
Mailing Address - Street 2:
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-2107
Mailing Address - Country:US
Mailing Address - Phone:773-732-4801
Mailing Address - Fax:847-678-6741
Practice Address - Street 1:4011 WAGNER AVE
Practice Address - Street 2:
Practice Address - City:SCHILLER PARK
Practice Address - State:IL
Practice Address - Zip Code:60176-2107
Practice Address - Country:US
Practice Address - Phone:773-732-4801
Practice Address - Fax:847-678-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty