Organization
MIDWEST CENTER FOR CHILDRENS DEVELOPMENT NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS S YOUNG (ADMINISTRATOR)
(815) 788-1020
Entity
Organization
Contact information
Practice address
4701 N OAK ST, CRYSTAL LAKE, IL 60012-3309
(815) 788-1020
(815) 788-1422
Mailing address
4701 N OAK ST, CRYSTAL LAKE, IL 60012-3309
(815) 788-1020
(815) 788-1422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/04/2007
Last updated
09/11/2025
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