Provider Demographics
NPI:1518099084
Name:A PLACE FOR CHILDREN
Entity Type:Organization
Organization Name:A PLACE FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:RUNIONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-331-4990
Mailing Address - Street 1:3041 W NORTH SHORE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4127
Mailing Address - Country:US
Mailing Address - Phone:847-208-7097
Mailing Address - Fax:775-269-9239
Practice Address - Street 1:2425 W PRATT BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4665
Practice Address - Country:US
Practice Address - Phone:847-208-7097
Practice Address - Fax:775-269-9239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty