Organization
SPOT 4 KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISABETH M. VANBOEKEL PT (PRESIDENT)
(630) 554-6156
Entity
Organization
Contact information
Practice address
29D STONEHILL RD, OSWEGO, IL 60543-9449
(630) 554-6156
(630) 554-6378
Mailing address
29D STONEHILL RD, OSWEGO, IL 60543-9449
(630) 554-6156
(630) 554-6378
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4520064
BCBS OF ILLINOIS
IL
Enumeration date
03/28/2007
Last updated
08/22/2020
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