Organization
BUILDING BLOCK PEDIATRIC THERAPIES OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE FOWLER (MANAGER)
(847) 254-1040
Entity
Organization
Contact information
Practice address
1107 W. PARK KAVE., LIBERTYVILLE, IL 60048
(847) 254-1040
Mailing address
1107 W PARK AVE, LIBERTYVILLE, IL 60048-2552
(847) 254-1040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010239
IL
235Z00000X
Speech-Language Pathologist
Primary
146007078
IL
235Z00000X
Speech-Language Pathologist
1460099190
IL
Other
Enumeration date
08/18/2014
Last updated
01/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us