Organization
BLAZING PRAIRIE STARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE B RAACK M.A.CCC-SLP (CEO)
(630) 365-5550
Entity
Organization
Contact information
Practice address
47W635 BEITH RD, MAPLE PARK, IL 60151-8802
(630) 365-5550
(630) 365-9550
Mailing address
47W635 BEITH ROAD, MAPLE PARK, IL 60151-8802
(630) 365-5550
(630) 365-9550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532110
BLUE CROSS BLUE SHEILD
IL
Enumeration date
01/17/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us