Provider Demographics
NPI:1497503791
Name:REDWOOD LITERACY LLC
Entity type:Organization
Organization Name:REDWOOD LITERACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:DETLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-751-4364
Mailing Address - Street 1:7007 N GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2812
Mailing Address - Country:US
Mailing Address - Phone:733-309-4524
Mailing Address - Fax:
Practice Address - Street 1:7007 N GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-2812
Practice Address - Country:US
Practice Address - Phone:733-309-4524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty