Provider Demographics
NPI:1083735906
Name:LEAPS & BOUNDS FAMILY SERVICES INC
Entity Type:Organization
Organization Name:LEAPS & BOUNDS FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD DEVELOPMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:630-561-2075
Mailing Address - Street 1:701 N KRAMER AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-1943
Mailing Address - Country:US
Mailing Address - Phone:630-561-2075
Mailing Address - Fax:630-873-5441
Practice Address - Street 1:701 N KRAMER AVE
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-1943
Practice Address - Country:US
Practice Address - Phone:630-561-2075
Practice Address - Fax:630-873-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILBD38020901P222Q00000X
IL056.007597225X00000X
IL146008329235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty