Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ezekiel Early Childhood Development Center

Organization Developmental Therapist · NPI 1376309641

Ezekiel Early Childhood Development Center provides Developmental Therapist services in Forest Park, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

7445 Roosevelt Rd Apt 206-B
Forest Park, IL 60130-2555
Phone: (224) 487-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1376309641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laneta Johnson — Early Intervention Specialist · (224) 487-7400
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 24, 2024
Mailing address7445 Roosevelt Rd Apt 206-B, Forest Park, IL 60130-2555

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