Healthcare Provider Details

I. General information

NPI: 1891587531
Provider Name (Legal Business Name): INFANT INSIGHTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6538 HUBBARD LN
TINLEY PARK IL
60477-2817
US

IV. Provider business mailing address

6538 HUBBARD LN
TINLEY PARK IL
60477-2817
US

V. Phone/Fax

Practice location:
  • Phone: 708-890-6047
  • Fax:
Mailing address:
  • Phone: 708-890-6047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ISABELLA MAGANA
Title or Position: DEVELOPMENTAL THERAPIST
Credential: MA
Phone: 708-890-6047