Healthcare Provider Details

I. General information

NPI: 1205000726
Provider Name (Legal Business Name): FINGERPRINTS THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2728 HASSERT BLVD
NAPERVILLE IL
60564-5304
US

IV. Provider business mailing address

13319 MORNING MIST PL
PLAINFIELD IL
60585-1317
US

V. Phone/Fax

Practice location:
  • Phone: 630-305-8399
  • Fax: 630-305-8470
Mailing address:
  • Phone: 630-305-8399
  • Fax: 630-305-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number056007420
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTIN OLSON
Title or Position: CEO
Credential: OTR/L
Phone: 630-260-9332