Organization
PEDIATRIC ADULT REHABILITATION ASSOCIATES
Active
Organization
PEDIATRIC ADULT REHABILITATION ASSOCIATES
Active
Other names
PARA's Peach Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNA J RUZICH MS CCC-SLP (PRESIDENT/CLINICAL MANAGER)
(815) 725-9992
Entity
Organization
Contact information
Practice address
350 HOUBOLT RD, SUITE 101, JOLIET, IL 60431-8305
(815) 725-9992
(815) 725-9993
Mailing address
350 HOUBOLT RD, SUITE 101, JOLIET, IL 60431-8305
(815) 725-9992
(815) 725-9993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
IL
2355S0801X
Speech-Language Assistant
—
IL
235Z00000X
Speech-Language Pathologist
22003708A
IN
235Z00000X
Speech-Language Pathologist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405254137001
—
IL
Enumeration date
01/06/2006
Last updated
09/11/2025
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