Organization
SPECIAL CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HILL (CONTROLLER)
(618) 234-6876
Entity
Organization
Contact information
Practice address
1306 WABASH AVE, BELLEVILLE, IL 62220-3370
(618) 234-6876
(618) 234-6150
Mailing address
1306 WABASH AVE, BELLEVILLE, IL 62220-3370
(618) 234-6876
(618) 234-6150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IL
235Z00000X
Speech-Language Pathologist
—
IL
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321502460001
—
IL
05
—
321648226001
—
IL
05
—
347721087001
—
IL
05
—
495608727001
—
IL
Enumeration date
05/11/2006
Last updated
03/07/2008
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