Basic Information
| Provider Information | |||||||||
| NPI: | 1669536702 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHILDRENS THERAPY & REHAB SPECIALISTS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 424 NORTH RAND RD | ||||||||
| Address2: | |||||||||
| City: | NORTH BARRINGTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472651460 | ||||||||
| FaxNumber: | 8472651650 | ||||||||
| Practice Location | |||||||||
| Address1: | 424 NORTH RAND RD | ||||||||
| Address2: | |||||||||
| City: | NORTH BARRINGTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472651460 | ||||||||
| FaxNumber: | 8472651650 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CSEH | ||||||||
| AuthorizedOfficialFirstName: | PAULA | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8472651460 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251P0200X | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | 225XP0200X | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | 235Z00000X | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.