Provider Demographics
NPI:1336607019
Name:INTEGRATED THERAPY SPECIALISTS, L.L.C.
Entity Type:Organization
Organization Name:INTEGRATED THERAPY SPECIALISTS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARY JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ACOPIADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-775-6637
Mailing Address - Street 1:5946 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5424
Mailing Address - Country:US
Mailing Address - Phone:773-775-6637
Mailing Address - Fax:
Practice Address - Street 1:300 N RIVER RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1211
Practice Address - Country:US
Practice Address - Phone:773-775-6637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty