Para'S Peach Tree

LBN: Pediatric Adult Rehabilitation Associates
Para'S Peach Tree is an health care organization with primary practice located at 350 Houbolt Rd Suite 101, Joliet IL 60431-8305. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Other Service Providers / Specialist is the primary health care specialty. Pediatric Adult Rehabilitation Associates can be contacted via phone (815) 725-9992, or through Ruzich, Shauna J via phone (815) 725-9992.

Contact Information

Primary practice address
350 Houbolt Rd Suite 101 Joliet IL 60431-8305
Phone: (815) 725-9992
Fax: (815) 725-9993
Website:
Map and Directions
Authorized official contact:
Name: Ruzich, Shauna J MS CCC-SLP
Phone: (815) 725-9992

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22003708A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1710965918
LBN Legal business name Pediatric Adult Rehabilitation Associates
DBA Doing business as Para'S Peach Tree
Authorized official Ruzich, Shauna J MS CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710965918 NPPES
Illinois MEDICAID 405254137001

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