Holly Derosa Walejeski in Chicago - Early Intervention Provider Agency
Holly Derosa Walejeski - NPI 1043493174
Holly Derosa Walejeski is a Early Intervention Provider Agency in Chicago, Illinois. Holly Derosa Walejeski practices all healthcare services and medical treatments related to Early Intervention Provider Agency. The NPI Number for Holly Derosa Walejeski is 1043493174. The last update date is 2013-05-08.
Holly Derosa Walejeski's current location address is 3139 N Lincoln Ave Ste 203, Chicago, Illinois. You can contact this provider via phone number 7736821988. The mailing address for Holly Derosa Walejeski is 3139 N Lincoln Ave Ste 203, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Derosa Walejeski |
|---|---|
| Address | 3139 N Lincoln Ave Ste 203, Chicago, Illinois |
| Phone Number | 7736821988 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1043493174 |
|---|---|
| Provider Enumeration Date | 2007-12-12 |
| Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
| Address | 3139 N Lincoln Ave Ste 203 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606573122 |
| Phone Number | 7736821988 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Early Intervention Provider Agency |
|---|---|
| Taxonomy | 252Y00000X |
| Licence No | 180.007992 |
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Definition: Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Ac |
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What is the unique provider identifier assigned to Holly Derosa Walejeski?
The Holly Derosa Walejeski has been issued the NPI (National Provider Identifier) 1043493174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Holly Derosa Walejeski?
The Holly Derosa Walejeski is physically situated at 3139 N Lincoln Ave Ste 203, in the city of Chicago, state of IL, with the postal code 606573122.
What is the Holly Derosa Walejeski's area of specialization and corresponding taxonomy classification?
The Holly Derosa Walejeski's specialty field is Early Intervention Provider Agency, and it falls under the taxonomy code 252Y00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1043493174 assigned to Holly Derosa Walejeski?
The Holly Derosa Walejeski was issued its 1043493174 on 2007-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Holly Derosa Walejeski last refreshed?
The information related to the Holly Derosa Walejeski, including its address, specialty, and other relevant details, was last updated on 2013-05-08.
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