Provider Demographics
NPI:1396868261
Name:LEAPS AND BOUNDS THERAPEUTIC SERVICES INC
Entity Type:Organization
Organization Name:LEAPS AND BOUNDS THERAPEUTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINGE HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:773-983-5273
Mailing Address - Street 1:430 E 162ND ST
Mailing Address - Street 2:SUITE 246
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2258
Mailing Address - Country:US
Mailing Address - Phone:773-983-5273
Mailing Address - Fax:
Practice Address - Street 1:430 E 162ND ST
Practice Address - Street 2:SUITE 246
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2258
Practice Address - Country:US
Practice Address - Phone:773-983-5273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL56004637225X00000X
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty