Organization
BEACON INTEGRATED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KRAUS SLP (PRESIDENT, SLP)
(608) 320-9896
Entity
Organization
Contact information
Practice address
311 AMHERST CT, VERNON HILLS, IL 60061-1708
(608) 320-9896
Mailing address
311 AMHERST CT, VERNON HILLS, IL 60061-1708
(608) 320-9896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146014493
IL STATE LICENSE
IL
Enumeration date
02/20/2020
Last updated
10/26/2020
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