Healthcare Provider Details

I. General information

NPI: 1548059421
Provider Name (Legal Business Name): OAKS AND ACORNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 FOXBOROUGH RD
SOUTH ELGIN IL
60177-2190
US

IV. Provider business mailing address

703 FOXBOROUGH RD
SOUTH ELGIN IL
60177-2190
US

V. Phone/Fax

Practice location:
  • Phone: 815-276-7044
  • Fax:
Mailing address:
  • Phone: 815-276-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY BOLAND
Title or Position: OCCUPATIONAL THERAPIST
Credential:
Phone: 815-276-7044