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Organization
VILLAGE THERAPY SERVICES, INC.
Active
Organization
VILLAGE THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE WACHHOLDER M.A. (PRESIDENT)
(847) 697-6473
Entity
Organization
Contact information
Practice address
100 SUMMIT DR, GILBERTS, IL 60136-4037
(847) 697-6473
Mailing address
100 SUMMIT DR, GILBERTS, IL 60136-4037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004532306
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/04/2006
Last updated
08/22/2020
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