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Organization
EASTER SEALS CHILDREN'S DEVELOPMENT CENTER
Active
Organization
EASTER SEALS CHILDREN'S DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ZAWACKI (CHIEF OPERATING OFFICER)
(312) 491-4131
Entity
Organization
Contact information
Practice address
650 N MAIN ST, ROCKFORD, IL 61103-6921
(815) 965-6745
(815) 965-6021
Mailing address
650 N MAIN ST, ROCKFORD, IL 61103-6921
(815) 965-6745
(815) 965-6021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070002098
IL
Other
Enumeration date
05/19/2006
Last updated
01/26/2009
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