Abc Pediatric Therapy, Llc
LBN: Abc Pediatric Therapy, Llc
Abc Pediatric Therapy, Llc is an health care organization with primary practice located at 634 N Main St Suite 3, O Fallon IL 62269-3746. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Abc Pediatric Therapy, Llc can be contacted via phone (618) 632-4222, or through Bruce, Amy L. via phone (618) 632-4222.
Contact Information
Primary practice address
634 N Main St Suite 3
O Fallon IL 62269-3746
Phone: (618) 632-4222
Fax: (618) 632-4658
Website:
Health care specialties
Profile Details
| NPI number | 1124044698 |
|---|---|
| LBN Legal business name | Abc Pediatric Therapy, Llc |
| DBA Doing business as | |
| Authorized official | Bruce, Amy L. MS CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jun 17th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124044698 | NPPES |
| Illinois | Other | 08232136 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 348620164001 | BLUE CROSS BLUE SHIELD |
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