Healthcare Provider Details

I. General information

NPI: 1013845932
Provider Name (Legal Business Name): MRS. WENDI A SEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 N TEDY LN
ROUND LAKE BEACH IL
60073-4173
US

IV. Provider business mailing address

2407 N TEDY LN
ROUND LAKE BEACH IL
60073-4173
US

V. Phone/Fax

Practice location:
  • Phone: 847-525-6524
  • Fax:
Mailing address:
  • Phone: 847-525-6524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: