Provider Demographics
NPI:1578768099
Name:SEARCY, ANGELA
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SEARCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22646 LILLY PAD LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-5119
Mailing Address - Country:US
Mailing Address - Phone:708-845-2343
Mailing Address - Fax:866-431-3855
Practice Address - Street 1:22646 LILLY PAD LN
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-5119
Practice Address - Country:US
Practice Address - Phone:708-845-2343
Practice Address - Fax:866-431-3855
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist