Healthcare Provider Details

I. General information

NPI: 1730727504
Provider Name (Legal Business Name): LEAPS AND BOUNDS CHILD DEVELOPMENT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9126 SHERMAN AVE
BROOKFIELD IL
60513-1547
US

IV. Provider business mailing address

9126 SHERMAN AVE
BROOKFIELD IL
60513-1547
US

V. Phone/Fax

Practice location:
  • Phone: 708-528-2407
  • Fax:
Mailing address:
  • Phone: 708-528-2407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MARGARET CONROY
Title or Position: PRESIDENT
Credential: DEV. THERAPIST
Phone: 708-528-2407