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Organization

BUILDING BLOCKS DEVELOPMENTAL SERVICES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHARINE DANIELLE PALERMO OTRL (PRESIDENT)
(815) 272-5117
Entity
Organization

Contact information

Practice address
13717 S ROUTE 30, SUITE 159, PLAINFIELD, IL 60544-5527
(815) 272-5117
Mailing address
2218 COUNTRY RIDGE DRIVE, PLAINFIELD, IL 60586
(815) 272-5117
(866) 615-0768

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9932458
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
10/26/2006
Last updated
08/23/2009
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