Provider Demographics
NPI:1083912026
Name:ALEGRIA HABILITATION
Entity Type:Organization
Organization Name:ALEGRIA HABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABADAS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:773-456-7551
Mailing Address - Street 1:2801 S LAWNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-4547
Mailing Address - Country:US
Mailing Address - Phone:773-456-7551
Mailing Address - Fax:773-456-7551
Practice Address - Street 1:2801 S LAWNDALE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-4547
Practice Address - Country:US
Practice Address - Phone:773-456-7551
Practice Address - Fax:773-456-7551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-006604225X00000X
IL146006742235Z00000X
IL146007230235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty