Provider Demographics
NPI:1679927222
Name:CHILD THERAPY AND REHABILITATION LLC
Entity Type:Organization
Organization Name:CHILD THERAPY AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR & OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:847-697-7800
Mailing Address - Street 1:1725 FREMONT CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-4325
Mailing Address - Country:US
Mailing Address - Phone:847-736-2481
Mailing Address - Fax:
Practice Address - Street 1:790 FLETCHER DR
Practice Address - Street 2:UNIT 101
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4755
Practice Address - Country:US
Practice Address - Phone:847-697-7800
Practice Address - Fax:847-697-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine