INDEPENDENT PROVIDER
NPI 1558718023
Early Intervention Provider Agency in Chicago, IL

Active since May 15, 2016
3800 W 106TH ST, CHICAGO, IL 60655(773) 759-2403 Get Directions Write a Review

NPPES record last updated: May 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Early Intervention Provider Agency

About INDEPENDENT PROVIDER

This page provides the complete NPI Profile along with additional information for Independent Provider, a provider established in Chicago, Illinois operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1558718023 assigned on May 2016. The practitioner's primary taxonomy code is 252Y00000X with license number 242003723 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Kathleen Moloney M.s. Cf-slp (Speech-language Pathologist)

NPI
1558718023 Verify this NPI
Provider Name
INDEPENDENT PROVIDER
Entity Type
Organization
Location Address
3800 W 106TH ST CHICAGO, IL 60655
Location Phone
(773) 759-2403
Mailing Address
3800 W 106TH ST CHICAGO, IL 60655
Mailing Phone
(773) 759-2403
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2016
Last Update Date
05-15-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
License No.
242003723
License State
IL
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN MOLONEY M.S. CF-SLP

Authorized Official Title
SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Phone
(773) 759-2403

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558718023, enumerated as an "organization" on May 15, 2016.

The provider is located at 3800 W 106TH ST CHICAGO, IL 60655 and the phone number is (773) 759-2403.

Early Intervention Provider Agency with taxonomy code 252Y00000X.