MEDICARE: LAUREN RIDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1952534059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN RIDER

Provider Business Mailing Address
First Line	:	121 E BURNETT RD
Second Line	:
City	:	ISLAND LAKE
State	:	IL
Zip	:	60042-9716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 E BURNETT RD
Second Line	:
City	:	ISLAND LAKE
State	:	IL
Zip	:	60042-9716
Country	:	US
Telephone Number	:	224-558-0980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

Similar Medicare Providers

1407781214 — PRESTON PAUL STUCHLIK
Practice Location Address:

903 RIDGEWOOD AVE
GRAND ISLAND, NE
68803-9716

Practice Phone: 531-301-1603
Practice Fax:

1992781868 — KANESSIA SHEPARD MA, CCC-SLP
Practice Location Address:

9716 LAKE POINTE CT APT 101
UPPER MARLBORO, MD
20774-4714

Practice Phone: 240-788-7089
Practice Fax: 240-788-7089

1679511588 — NHC HEALTHCARE-SOMERVILLE LLC
Practice Location Address:

308 LAKE DR
SOMERVILLE, TN
38068-9716

Practice Phone: 901-465-9861
Practice Fax:

1649362674 — MRS. BETT ELAINE BURNS LPTA
Practice Location Address:

308 LAKE DR
SOMERVILLE, TN
38068-9716

Practice Phone: 901-465-9861
Practice Fax: 901-465-9897

1801989991 — VIRGINIA SHAUN TERRY
Practice Location Address:

308 LAKE DR
SOMERVILLE, TN
38068-9716

Practice Phone: 901-465-9861
Practice Fax: 901-465-9897

1679614143 — NHC HEALTHCARE SOMERVILLE LLC
Practice Location Address:

308 LAKE DR
SOMERVILLE, TN
38068-9716

Practice Phone: 901-465-9861
Practice Fax:

Directions to “ LAUREN RIDER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.