Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Early Intervention Provider Agency · Chicago, IL

NPI number 1174554331 Active

Practice location

1640 W Roosevelt Rd
Chicago, IL 60608-1336

Call (312) 996-6695 Map

Fax (312) 413-0086

Mailing address

808 S Wood St Ste 169
Chicago, IL 60612-7306

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Behavior Analyst 103K00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Developmental Therapist 222Q00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Early Intervention Provider Agency Primary 252Y00000XNone listed
Occupational Medicine Clinic/Center 261QX0100XNone listed

Early Intervention Provider Agency: 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 Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, …

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About NPI 1174554331

The Board of Trustees of the University of Illinois's National Provider Identifier is 1174554331, issued on Jul 6, 2006. The primary taxonomy on file is Early Intervention Provider Agency (252Y00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 17, 2026.