Provider Demographics
NPI:1437290418
Name:EARLY ABILITIES, INC.
Entity Type:Organization
Organization Name:EARLY ABILITIES, INC.
Other - Org Name:EARLY ABILITIES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:815-726-3167
Mailing Address - Street 1:16525 W 159TH ST
Mailing Address - Street 2:SUITE 237
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-7900
Mailing Address - Country:US
Mailing Address - Phone:815-726-3167
Mailing Address - Fax:815-726-3168
Practice Address - Street 1:16525 W 159TH ST
Practice Address - Street 2:SUITE 237
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-7900
Practice Address - Country:US
Practice Address - Phone:815-726-3167
Practice Address - Fax:815-726-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.003766225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty