Provider Demographics
NPI:1235625328
Name:C & C FOUNDATIONS LTD
Entity Type:Organization
Organization Name:C & C FOUNDATIONS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-301-4161
Mailing Address - Street 1:3175 W FOREST RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-9200
Mailing Address - Country:US
Mailing Address - Phone:815-739-1452
Mailing Address - Fax:
Practice Address - Street 1:3175 W FOREST RD
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-9200
Practice Address - Country:US
Practice Address - Phone:815-739-1452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005808235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty