STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT NPI 1063544401

NPI Information

NPI: 1063544401
Provider Name: STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT

Former Legal Business Name: EASTER SEALS OF LASALLE & BUREAU COUNTIES

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1013 ADAMS STREET
OTTAWA, IL
ZIP 61354
Phone: (815) 434-0857
Get Directions

STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT is a voluntary or charitable in Ottawa, IL. STARVED ROCK REGIONAL CENTER FOR THERAPY & CHILD DEVELOPMENT NPI is 1063544401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Easter Seals Of Lasalle & Bureau Counties.

The provider's business location address is:

1013 ADAMS STREET
OTTAWA, IL
ZIP 61354-304
Phone: (815) 434-0857
Fax: (815) 434-2260

The provider's authorized official is Paula Sue Williamson .
The authorized official title is Program Director and has the following contact phone number (815) 434-0857.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 6/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2081P0010X	Physical Medicine & Rehabilitation	Pediatric Rehabilitation Medicine	ILLINOIS	No
2	225X00000X	Occupational Therapist		ILLINOIS	No
3	235Z00000X	Speech-Language Pathologist		ILLINOIS	No
4	251V00000X	Voluntary or Charitable			No
5	251V00000X	Voluntary or Charitable		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5015093	OTHER	ILLINOIS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »