Organization
ENRICHING CREATIVE MINDS EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE BEAUGARD (DEVELOPMENTAL THERAPIST)
(708) 257-2781
Entity
Organization
Contact information
Practice address
557 S CANYON DR, ROMEOVILLE, IL 60446-4309
(708) 257-2781
(815) 524-5718
Mailing address
PO BOX 703, PLAINFIELD, IL 60544-0703
(708) 257-2781
(815) 524-5718
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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