Provider Demographics
| NPI: | 1295553329 |
|---|---|
| Name: | SJ HARMONY LLC |
| Entity type: | Organization |
| Organization Name: | SJ HARMONY LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BEATA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | STEC |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 773-835-0479 |
| Mailing Address - Street 1: | 1056 FLORIDA LN |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ELK GROVE VILLAGE |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60007-2958 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 773-835-0479 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1056 FLORIDA LN |
| Practice Address - Street 2: | |
| Practice Address - City: | ELK GROVE VILLAGE |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60007-2958 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 773-835-0479 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-09-27 |
| Last Update Date: | 2024-09-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 171R00000X | Other Service Providers | Interpreter | Group - Multi-Specialty | |
| No | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | Group - Multi-Specialty | |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |