Organization
KIDTRACKS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA M. NEWCOMB PT (PRESIDENT)
(708) 301-7981
Entity
Organization
Contact information
Practice address
14234 S BELL RD, PMB 143, HOMER GLEN, IL 60491-8122
(708) 301-7981
(708) 301-6765
Mailing address
14234 S BELL RD, PMB 143, HOMER GLEN, IL 60491-8122
(708) 301-7981
(708) 301-6765
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09927853
BC/BS
IL
Enumeration date
03/27/2008
Last updated
03/27/2008
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