Organization
LAKE BLUFF SCHOOL DISTRICT 65
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ROEHRICK (SPECIAL EDUCATION COORDINATOR)
(847) 234-9400
Entity
Organization
Contact information
Practice address
350 W WASHINGTON AVE, LAKE BLUFF, IL 60044-1818
(847) 347-4983
Mailing address
350 W WASHINGTON AVE, LAKE BLUFF, IL 60044-1818
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
09/11/2023
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