Healthcare Provider Details

I. General information

NPI: 1518972132
Provider Name (Legal Business Name): FOCUS ON KIDS, TOO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 HUEHL RD BUILDING 14A
NORTHBROOK IL
60062-2319
US

IV. Provider business mailing address

425 HUEHL RD BUILDING 14A
NORTHBROOK IL
60062-2319
US

V. Phone/Fax

Practice location:
  • Phone: 847-412-9772
  • Fax: 847-412-9773
Mailing address:
  • Phone: 847-412-9772
  • Fax: 847-412-9773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSA OBREGON-GRECO
Title or Position: PRESIDENT
Credential: O.T.R./L.
Phone: 847-412-9772