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Organization

ELGIN PEDIATRIC THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA SHEADE (OWNER)
(847) 612-0530
Entity
Organization

Contact information

Practice address
1015 SUMMIT ST, ELGIN, IL 60120-4362
(847) 750-6392
(847) 628-0169
Mailing address
1015 SUMMIT ST, ELGIN, IL 60120-4362
(847) 750-6392
(847) 628-0169

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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