Organization
EI BABY DOCTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARCOTTE DPT (MANAGER)
(224) 288-8797
Entity
Organization
Contact information
Practice address
600 BASIL RD, LAKE BLUFF, IL 60044-1704
(224) 288-8797
Mailing address
600 BASIL RD, LAKE BLUFF, IL 60044-1704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
12/08/2022
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