Organization
BAUTZ DEVELOPMENTAL INTERVENTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM A SMITH (OFFICE MANAGER)
(708) 478-1820
Entity
Organization
Contact information
Practice address
11411 W 183RD ST, STE B, ORLAND PARK, IL 60467-9450
(708) 478-1820
(708) 478-3316
Mailing address
11411 W 183RD ST, STE B, ORLAND PARK, IL 60467-9450
(708) 478-1820
(708) 478-3316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
09/29/2005
Last updated
07/21/2022
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