NPI 1043592801

Beginners Depoot Ece Consulting

Organisation Early Intervention Provider Agency Chicago, IL

Practice location

Address: 346 W 113th St, Chicago, IL 60628-4137
Phone: (773) 495-5152

Authorised official

Name: Tywanda M Jiles
Title: Executive Director
Phone: (773) 710-6897

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence TJ35590103P (IL)

Other Early Intervention Provider Agency providers in Illinois →

Registry record

NPI: 1043592801
Entity type: Organization
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.