Provider Demographics
NPI:1760702849
Name:EDULOGOS LTD
Entity Type:Organization
Organization Name:EDULOGOS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMASZ
Authorized Official - Middle Name:MICHAL
Authorized Official - Last Name:CZARNOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-656-3016
Mailing Address - Street 1:4515 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-3711
Mailing Address - Country:US
Mailing Address - Phone:773-656-3016
Mailing Address - Fax:773-729-2232
Practice Address - Street 1:4515 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-3711
Practice Address - Country:US
Practice Address - Phone:773-656-3016
Practice Address - Fax:773-729-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency