Organization
FOCUS ON KIDS, TOO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA OBREGON-GRECO O.T.R./L. (PRESIDENT)
(847) 412-9772
Entity
Organization
Contact information
Practice address
425 HUEHL RD, BUILDING 14A, NORTHBROOK, IL 60062-2319
(847) 412-9772
(847) 412-9773
Mailing address
425 HUEHL RD, BUILDING 14A, NORTHBROOK, IL 60062-2319
(847) 412-9772
(847) 412-9773
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636276
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/30/2006
Last updated
08/02/2007
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