Provider Demographics
NPI:1376035501
Name:LADING PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:LADING PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LAING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:779-435-9507
Mailing Address - Street 1:15750 SPANGLERS FARM DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-2149
Mailing Address - Country:US
Mailing Address - Phone:779-435-9507
Mailing Address - Fax:855-230-9820
Practice Address - Street 1:15750 SPANGLERS FARM DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-2149
Practice Address - Country:US
Practice Address - Phone:779-435-9507
Practice Address - Fax:855-230-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty