Organization · Type 2 NPI

Ezekiel Early Intervention Services L.l.c.

Developmental Therapist · Forest Park, IL

NPI number 1265390348 Active

Practice location

7445 Roosevelt Rd Apt 7445
Forest Park, IL 60130-2555

Fax (773) 850-5543

Mailing address

7445 Roosevelt Rd Apt 206-B, 7445
Forest Park, IL 60130-2555

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1265390348

Ezekiel Early Intervention Services L.l.c.'s National Provider Identifier is 1265390348, issued on Jan 15, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Forest Park, IL. The record was last updated on Jan 15, 2026.