Organization
COMMUNITY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE B. RAACK M.S., CCC-SLP (CHIEF EXECUTIVE OFFICER)
(630) 444-0077
Entity
Organization
Contact information
Practice address
525 TYLER RD STE Q1, ST CHARLES, IL 60174
(630) 444-0077
(630) 444-0078
Mailing address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
(630) 444-0077
(630) 444-0078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146000585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670522
BLUE CROSS/BLUE SHIELD PR
IL
Enumeration date
10/26/2006
Last updated
06/12/2018
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