Provider Demographics
NPI:1831104520
Name:KIDS THERAPY, LTD.
Entity Type:Organization
Organization Name:KIDS THERAPY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MORETTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-573-9486
Mailing Address - Street 1:1860 W WINCHESTER RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-5351
Mailing Address - Country:US
Mailing Address - Phone:847-573-9486
Mailing Address - Fax:847-549-6139
Practice Address - Street 1:1860 W WINCHESTER RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-5351
Practice Address - Country:US
Practice Address - Phone:847-573-9486
Practice Address - Fax:847-549-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty