Provider Demographics
NPI:1801066048
Name:HEALING HANDS SPLINTING LLC
Entity type:Organization
Organization Name:HEALING HANDS SPLINTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:JARITA
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:312-813-0015
Mailing Address - Street 1:1400 N MOHAWK ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1114
Mailing Address - Country:US
Mailing Address - Phone:312-813-0015
Mailing Address - Fax:312-337-0115
Practice Address - Street 1:1400 N MOHAWK ST
Practice Address - Street 2:UNIT B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-1114
Practice Address - Country:US
Practice Address - Phone:312-813-0015
Practice Address - Fax:312-337-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier