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DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC
NPI 1245537976
Clinic/Center - Rehabilitation in Northlake, IL

Active since February 15, 2011
401 W LAKE ST, SUITE B-101 CONCORD PLACE, NORTHLAKE, IL 60164(773) 433-3320(733) 433-3331 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Providence Outpatient Therapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC (NPI 1245537976) is a healthcare organization registered as a rehabilitation in Northlake, Illinois and active in the NPI registry since February 2011. The organization lists Arnold Donato, Mbr, as its authorized official.

NPPES Registry Identity

NPI1245537976
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameDIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC
Location Address401 W LAKE ST, SUITE B-101 CONCORD PLACENorthlake, IL 60164-2435
Mailing Address3550 W Peterson Ave, Ste 306Chicago, IL 60659-3270 · (773) 433-3320 · Fax (773) 433-3331
Phone(773) 433-3320
Fax(733) 433-3331
Organization SubpartNo
Authorized OfficialArnold DonatoMbr · (773) 433-3320
Enumeration DateFebruary 15, 2011
✔ NPI 1245537976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
401 W LAKE ST, Northlake, IL 60164
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERNATIONAL HEALTH SYSTEMS
Assisted Living Facility
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 562-9000
MS. KRISTINA RENEE PARRO SLP
Speech-Language Pathologist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (779) 901-0298
DENICE SYKES
Occupational Therapy Assistant
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (855) 477-5627
PRIME CARE LTC CONSULTING INC
Internal Medicine
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 409-2318
ELENA EVERHART
Speech-Language Pathologist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 223-0494
KYLE TANZILLO MOT, OTR/L
Occupational Therapist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 365-9251
KAITLYN DANIELLE VESEVICK AGPCNP-BC, DNP
General Practice
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (630) 640-9460
POWERBACK REHABILITATION LLC
Clinic/Center (Rehabilitation)
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 384-8073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Providence Outpatient Therapy Services, LLC's NPI number?

The NPI number for Divine Providence Outpatient Therapy Services, LLC is 1245537976. It was assigned to this organization in the NPPES registry on February 15, 2011.

Where is Divine Providence Outpatient Therapy Services, LLC located?

Divine Providence Outpatient Therapy Services, LLC is located at 401 W Lake St Suite B-101 Concord Place, Northlake, IL 60164. The listed phone number is (773) 433-3320.

What is Divine Providence Outpatient Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Divine Providence Outpatient Therapy Services, LLC was last updated on February 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.