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Organization

EASTER SEALS CHILDREN'S DEVELOPMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA ZAWACKI (CHIEF OPERATING OFFICER)
(312) 491-4131
Entity
Organization

Contact information

Practice address
650 N MAIN ST, ROCKFORD, IL 61103-6921
(815) 965-6745
(815) 965-6021
Mailing address
650 N MAIN ST, ROCKFORD, IL 61103-6921
(815) 965-6745
(815) 965-6021

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070002098
IL

Other

Enumeration date
05/19/2006
Last updated
01/26/2009
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