Healthcare Provider Details

I. General information

NPI: 1679481873
Provider Name (Legal Business Name): KARA BREHM DEVELOPMENTAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 HILKERT CT
CRYSTAL LAKE IL
60014-5814
US

IV. Provider business mailing address

334 HILKERT CT
CRYSTAL LAKE IL
60014-5814
US

V. Phone/Fax

Practice location:
  • Phone: 262-210-5588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: KARA BREHM
Title or Position: OWNER
Credential:
Phone: 262-210-5588