Organization
NORTH SHORE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MICHAEL MS, OTR L (FOUNDER AND OCCUPATIONAL THERAPIST)
(847) 486-4140
Entity
Organization
Contact information
Practice address
1308 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(847) 486-4140
Mailing address
1308 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(847) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
07015233
IL
225XP0200X
Pediatric Occupational Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623839
BCBS NUMBER
IL
Enumeration date
02/13/2007
Last updated
09/11/2025
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