Provider Demographics
NPI:1760933063
Name:SENSABLE KIDS, P.C.
Entity Type:Organization
Organization Name:SENSABLE KIDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-697-7333
Mailing Address - Street 1:3711 N RAVENSWOOD AVE
Mailing Address - Street 2:#106
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3599
Mailing Address - Country:US
Mailing Address - Phone:773-697-7333
Mailing Address - Fax:
Practice Address - Street 1:3711 N RAVENSWOOD AVE
Practice Address - Street 2:#106
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3599
Practice Address - Country:US
Practice Address - Phone:773-697-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty