Developmental Specialists Of Southeastern Il, Inc. in Olney - Developmental Disabilities
Developmental Specialists Of Southeastern Il, Inc. - NPI 1073628350
Developmental Specialists Of Southeastern Il, Inc. is a Developmental Disabilities in Olney, Illinois. Developmental Specialists Of Southeastern Il, Inc. practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for Developmental Specialists Of Southeastern Il, Inc. is 1073628350. The last update date is 2009-04-09.
Developmental Specialists Of Southeastern Il, Inc.'s current location address is 905 E Main St, Olney, Illinois. You can contact this provider via phone number 6183937732 and fax number 6183953123. The mailing address for Developmental Specialists Of Southeastern Il, Inc. is 905 E Main St, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Developmental Specialists Of Southeastern Il, Inc. |
|---|---|
| Address | 905 E Main St, Olney, Illinois |
| Phone Number | 6183937732 |
| Fax Number | 6183953123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ross Catherine |
| Telephone Number | 6183937732 |
NPI Number Detail
| NPI Number | 1073628350 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2009-04-09 |
Provider Mailing Address Detail
| Address | 905 E Main St |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624502623 |
| Phone Number | 6183937732 |
| Fax Number | 6183953123 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
|
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8030288 | IL | BLUECROSS/BLUE SHIELD IL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Developmental Specialists Of Southeastern Il, Inc. by the Centers for Medicare & Medicaid Services?
The Developmental Specialists Of Southeastern Il, Inc. has been issued the NPI (National Provider Identifier) 1073628350, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Developmental Specialists Of Southeastern Il, Inc. is physically located?
The Developmental Specialists Of Southeastern Il, Inc. is physically situated at the following address: 905 E Main St, Olney, IL, 624502623.
What is Developmental Specialists Of Southeastern Il, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Developmental Specialists Of Southeastern Il, Inc.'s specialized field of practice is Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd1600X.
On what date did Developmental Specialists Of Southeastern Il, Inc. receive its 1073628350 assignment from the Centers for Medicare & Medicaid Services?
The Developmental Specialists Of Southeastern Il, Inc. was assigned its 1073628350 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Developmental Specialists Of Southeastern Il, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Developmental Specialists Of Southeastern Il, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-04-09.