Provider Demographics
NPI:1093143885
Name:LENS, ABRIL
Entity Type:Individual
Prefix:
First Name:ABRIL
Middle Name:
Last Name:LENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 SCHALLER LN
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1646
Mailing Address - Country:US
Mailing Address - Phone:773-344-7237
Mailing Address - Fax:
Practice Address - Street 1:18317 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3013
Practice Address - Country:US
Practice Address - Phone:773-344-7237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-15
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL007OtherEARLY INTERVENTION
IL222Q00000XOtherEARLY INTERVENTION