Organization
MILESTONES FOR KIDS SUCCESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET K PUDERBAUGH (OWNER)
(630) 673-4987
Entity
Organization
Contact information
Practice address
6224 PLYMOUTH CT, DOWNERS GROVE, IL 60516-1785
(630) 673-4987
Mailing address
6224 PLYMOUTH CT, DOWNERS GROVE, IL 60516-1785
(630) 673-4987
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
09/08/2021
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